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HomeMy WebLinkAbout078-270-004I 5 TRAVEL TRAILERS W/0 PE 6/2/94 01� GLS& JOY JARVIS 2352 -0, Road, Oroville Permit,�2221-82P',E(ut1, MH) ELEC 044- GAS SUPPORT STRUCTftZ K�t _.1r COMPACTION TEST RE` Permit k -074�82NH1 ISS 91-4343 GLIDE V L, SYLVIA CONTR: RCADO, CESAR 2352 V-6 RD, OROVILLE MH I --- - - - 92-00 8 GLIDEWELL, SYLVIA CONTR: UNKNOWN ,pQ 2352 V-6 RD, ORO E MH-UTIL ELEC 9'L-- GAS on C_ C ACTION TEST REQ SUPPORT STRUCT REQ___4)_C2_ g� A7T-25 92-664P GLIDEWELL, Sylvia / 2352 V-6 Rd, Oroville !� cont: Cesar Mercado (gas line/mh) ,9 2 8 23B E� GLIDEWELL, Sylvia 2352 V6 Rd,Oroville 2 9� cont: Mickey Current Df'✓ " deck, tamp, awnin /mh G4&-97-1 -Q� 5 03-0225 Silveira, David -vt -04 2380,V-6 Rd., Oroville Ex. M.H. Perm. FND Ex. Site e ' I w6_I-)JL 0-1972-7-07-07" MISCELLANEOUS LPG Tank (AbvGrnd) LPG TANK & PIPING W/TRENCH 2380 V-6 RD SILVEIRA, DAVID LIVING TRUST i ■ � I r _'�, O Q �' i - �:�/ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2380 V-6 RD Owner: Permit No: B08-1552 APN: 078-270-005 SILVEIRA, DAVID LIVING TRU Issued Date: 08/06/2008 By TMP Permit type: MISCELLANEOUS 2380 V-6 RD Subtype: LPG Tank (AbvGrnd) OROVILLE, CA 95966 Expiration Date: 08/06/2009 Description: LPG TANK & PIPING W/TRENCH (530) 534-9272 Occupancy: Zoning: AR Contractor Applicant: Square Footage: SILVEIRA, DAVID LIVING TI Building Garage Remdl/Addn 2380 V-6 RD OROVILLE, CA 95966 Other Porch/Patio Total (530)534-9272 FEE INFORMATION DBP Gas System (enter outlets) $59.00 �l Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8187 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 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 with Section 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 force and effect. 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 08/06/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundreddollars ($100) or less.) I AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calif ' , and agree that if I should become subject to the workers' X 08/06/2008 Com tion provisions Se on 3700 of the Labor Code, I shall forthwith comply with those Owne Signa ure Date pr inions. X 08/06/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 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 a or occupan f any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co ty to ant t e above mentioned property for inspection purposes. I hereby certify that I am the 'prop rty own r r am authorized to a on the property owner's be alf. CONSTRUCTION LENDING AGENCY :S (Li Z 06/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame o NI Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip ei BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION-• Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. ,go 0-/sem BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name S ( L, ( Alpr First Namb/)- vl Mailing Address V (1 lg A J City State CA-- Zip Phone X30-53�( _7� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name /gyp Address Zip City Fax State Zip Phone Fax E-mail ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail AP LICANT SIGNATURE X PROJECT LOCATION AP# 0-7 W-3 Property Address V— (o f 2 O/�- City &ZZ L/ ti_ C/;-- `�S-1 /, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certif(cate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. t N 57-q)- Lt. `( iP(J'(Ivk rte—, AlIEL-) up SRA I Yes I No Occ. L � Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. -- 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 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WELL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.(CVS R NO) 2. I A 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: LPG TANK & PIPING W/TRENCH Reference Number: B08-1552 Applicant Name: SILVEIRA, DAVID LIVING TRUST Owner's Name: SILVE , D ID L G TRUST AP # : 078-270-005 Signature of Property Owner: 1 —_ Date: g b /o .per County of Butte Oroville, California GENERAL CLAIM CLAIMANT: David and Susan Silveira ADDRESS: 2380 V-6 Road CITY & STATE: Oroville, CA 95965 nATI: nl= (a Alnn• f11mwnd SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 036-071-025 PLir[1'I if No.: 03_0225 / PAID RETAINED REFUND Development Services $ 325.00 $ 111.00 $ 214.00 SRA $ - $ - $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 325.00 $ 111.00 $ 214.00 ............................................... ............. ............................................... ............. ::::::::::::::::::::::::::::BR1✓Ai{DOi ............................................... .. ...:: " . ................................................ ................................................ T:::::::::: ............... ............... BUDGET : ............... .............. .............................. .............. .............................. :ACCOUNT::':AMOUNT'. .............. ............... .............. .............. Development Services 440-001 4210500 $ 214.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL $ 214.00 $ 214.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have beim rformed or delivered, and that this claim is true and correct as �stated. { —V 1 1 /` Dated this ! day of , 2004, at ti � Celif. ��Slgnature-of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one for the same. Dated this day of, 2004, at Oroville Calif. Depa Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING January 15, 2004 S David and Susan Silveira 2380 V-6 Road Oroville, CA 95965 RE: Permit No. 03-0225 APN#036-071-025 Owner: same On 1/27/03, a deposit was made in the amount of $63.00, and on 2/14/03, a deposit was made in the amount of $265.00, of which $111.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $214.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen OA III Enclosure 0 3-0225.1tr 9 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: David and Susan Silveira ADDRESS: 2380 V-6 Road CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 01/16/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 036-071-025 Permit No.: 03-0225 PAID RETAINED REFUND Development Services $ 325.00 $ 111.00 $ 214.00 SRA $ - $ - $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 325.00 $ 111.00 $ 214.00 ............................................... ............. ............................................... ............. ............................................... ................................................ ................................................ REAi{DOWN:::: ............... ............... BUDGET:: ............................. .............. .............................. .............. .............................. :AQWUN ::::ALVi0I31�iT: ............... ............... ............... Development Services 440-001 4210500 $ 214.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL 1 . $ . 214.00 $ 214.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. I . - `. REFUND CALCULATION SHEET I T: David and Susan Silveira 2380 V-6 Road Y & STATE: Oroville, CA 95965 TE OF CLAIM: 12/09/03 APN: 036-071-025 RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: 369914 370109 01/27/2003 02/14/2003 David Silveira Susan Silveira 2156 2212 1$262.00 03-0225 03-0225 PRIOR REFUNDS: FEES VERIFIED DETAIL BLDG FILING FEES Building Plumbing Electric Mechanical PLAN CHECK Plan Check Energy INSPECTION Energy SRA - BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical REFUND PROCESS FEE BUILDING TOTAL SRA - FIRE Fire $43 SHERIFF - $360 Sheriff OTHER NON -BLDG Yes I No I Yes No I Yes I No X I X X 1 I X I I REFUND BREAKDOWN PAID I RETAIN I REFUND 20.00 20.00 20.00 20.00 23.001 23.00 232.00 23.001 209.00 30.00 30.00 25.00 -25.00 $ 325.00 1 $ 111.00 $ 214.00 CHECK: $214.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 00 Michael Vieira Building Manager $325.00 440-001 1 0100 1 280 4210500 4617240 1011811 Lo P`Nf .: 036-071-025 DATES: 01/27/03 N N 0 M OWNER: ISilveira SITE ADDRESS: 2362 Phone: V-6 Road 534-9272 Oroville Zoning Acres Name/Date Flood Map/Book Page Block Lot Panel Snow Load Other SRA VALUATION CODE SQ FT $/SQ FT VALUATION Residential/ Guest House/Heated Fun Room R 1120 $54.00 $ 60,480.00 Business/Office 0 $ - 0 0 $ - Storage/Commercial $ 34.00 $ - $ Re-RoofF SQ $ 60.00 Calculatesquares 20 ft x 30ft = 60 sf = 6 squares Fireplace A (Zero Clr): Masonry: I $ - TOTAL VALUATION $ 60,480.00 BUILDING PERMIT FEES QTY FEES FILING FEE 1 $ 20.00 $ 20.00 Permit Fee - Full Permit Fee - 1/2 (MH) 1 $ 232.00 Plan Check @ 65% Permit Fee $ - Plan Check Minimum/Mobile Home State Approved Plan 1 $ 23.00 $ 23.00 Plan Check MASTER PLANS ONLY $ - Revised Plan Check $ 46.00 $ - Energy Inspection Fee $ 46.00 $ - Energy Plan Check Commercial 4000+: $ - Residential To Master: $ - Mobile Home Installation Inspection $ 100.00 $ - TOTAL BUILDING PERMIT FEES $ 275.00 PLUMBING PERMIT FILING FEE 1 $ 20.00 $ 20.00 Each Trap $ 7.00 $ - Solar or heat pump water heater $ 23.00 $ - Water piping 1 $ 15.00 $ 15.00 Each gas water heater or vent $ 15.00 $ - Gas piping system 1-5 Outlets 1 1 5+ Outlets $15/$3 $ - Building Sewer 1 $ 15.00 $ 15.00 Mobile Home Utilities Sewer: I I Water: I Gas: 1 $ 20.00 $ - $ - TOTAL PLUMBING PERMIT FEES $ 50.00 Lid 41?'N6.: 036-071-025 DATES: 01/27/031 1 N N OWNER: Silveira - Phone: SITE ADDRESS: 23621V-6 Road 534-9272 Oroville Q ELECTRICAL PERMIT FILING FEE $ 20.00 $ - Main Service 600V or less/200A or less $ 23.00 $ - 200+A to 1000A $ 46.00 $ New Construction or Addns New Const or Addns (Dwelling Occup & Acc. Bldgs) $ 0.035 New Construction Non -Residential Multi -Outlet Branch Circuits $ 7.50 $ - Power Apparatus & Single Outlet Cir. $ _ Existing Occupied Outlets or Fixtures 1-20 $ 1.00 $ - 20+ $ 0.50 $ - Fixed Appliances or Outlets (Res) ea. $ 5.00 $ - Temporary Service $ 23.00 $ - Mobile Home Facilities $ 20.00 $ - Miscellaneous Wiring $ 23.00 $ - Pre -Inspection (existing MH, existing site) $ 23.00 $ - Pool Electric $ 30.00 $ - TOTAL ELECTRICAL PERMIT FEES $ - MECHANICAL PERMIT FILING FEE $ 20.00 $ - Heating Up to and including 100,000 BTU $ 15.00 $ - Greater than 100,000 BTU $ 20.00 $ - Cooling Up to 3 HP and 100,000 BTU $ 15.00 $ - 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ - Evaporative Cooler $ 15.00 $ - Extend Ducts in Additions $ 15.00 $ - Hoods $ 6.50 $ - Ventilation $ 4.50 $ - Gas Fireplace $ 15.00 $ - $ - MECHANICAL PERMIT FEES $ - TOTAL OF ALL BUILDING PERMIT FEES 325.00 Occupancy: Construction: ISSUED HAZ FEES IMP FLOOD CDF PRCL PD HD ❑ 13 ❑ 0 ❑ ❑ ❑ ❑ Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for payment processing. CLAIMANT'S NAME: 'bP VLb S lLVf-- ( &I -- MAILING ADDRESS: a-ZT9 V-6 AaA-h 9A,9 Vl Uf--r CA- 96-'� 6 b ( 5'20 ) S3 q - _q � 3 �- PHONE: ASSESSOR'S PARCEL NO.: 3 b - 0-7 a S [Please use one claim form per permit.] BLDG PERMIT NO.: © 3 - 0 Receipt No. 1 Receipt No. 2 Receipt No. 3 3 6 `i 9 3 2 L( 0 Q RECEIPT NO.: i a 7/ 0 3 RECEIPT DATE: RECEIPT AMOUNT:6�-��6J REASON FOR REFUND REQUEST: Check those fees which you wish to have considered for refund: 49B uildingPermit Fees OSheriff Fees [SRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. 4:/Forms/Refund Application 082203 OL COUNTY Date DECn sr3 DEVELOPMENT SERVICES r gumm COUNTY DECo 2oo3 �EVE PM�NT �w I CAVCA-L, .� �f I z �. i l� - II i tit il PERMIT LAST NAME CONTRACTOR STREET NO USE , VALUATION FEES PAID' FEES 2 FEES 3 FEES 4 Comments: STREET NAME' LA 11 TYPE T T2 T3 T4 FIRST -NAME 9_CIT7TIVAID .. ... . ...... Y1&,T,Y CITY REMARKS M DLIED UED COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754]�� �PERMI (Rev. 12/96) APPLICATION AND PERMIT FFJJ Zl j ASSESSOR PARCEL NUMBERZONING 036-071'-. 00 BUILDING PERMIT OWNER SILVEPRA,, DAVID TELEPHONE 534-92721120 SO. FT. OCC. BUILDING VALUATION P. 60 80 OWNERS MAILING ADDRESS V-6 Fill. dk)VILLE. CAL 95966 CONT R' NAM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 60p480.00 ARCHITECT OR ENGINEER UCENSE NO. Film Fee $ 20.00 Permit Fee 464 15 $ 232.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS RW101--V-6 RD.. OROVITI.E.$ Energy Plan Checking Fee $ - PERMIT FEE $ 2 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 15.00 Each gas water heater or vent 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TDC IVE PERM M a SITE Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '."o.,, 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 Convectors License LqAfor the following reason: will do the work, and the structure is not intended or offered for sale. ID I, as owner of the property, am exclusively contracting with licensed contractors r❑ I, as owner of the property, or my employees with wages as their sole compensation, to construct the project. 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION (he by affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers'Coolincompensation, 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.) 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' C ensation laws of California, and agree that if I should become subject to the ork s' cc nsation provisions of section 3700 of the Labor Code, I shall orth ith c ly with those provisions. \of D to ( O-7 'ez n er Contractor ❑Agent An OSHA permit is requir d for excavatio s over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. OW .LUNG OCCUP. So OR ADDNS. ( a ACC. S.3.5¢FT. NEW CONST. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS97.50 POWEPPARATUS a SINGLER AOUTLET CIR. Ex. Occup. CUTLET OR FIXTURES BAL 1. 0 .- Ex. Occup.ovnFTsFIXED APPLNsRESID. OR EA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE INSPECTION PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. �FEES 6,,AL FEE $ 325.00 HAZ. D. FLOOD �- CDf PARCEL _ PD HD ISSUE This permit is hereby issued under th utte Coun Code and/or in Cate for hich fees have PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. DateWN/673 0`1'r Det. Receipt No. "�� • 7f� �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL NG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 538-1541 PERMIT N0. (Rev.1$96) APPLICATION AND PERMIT ASS13SORPM08-t8J618F3i ZOt°N0 BUILDING PERMIT ON1NER ZELEP OHESQ. FT. OCC. BUILDING VALUATION r g3`!-9 olMn 4mm PDORESS U, GT �C7 O C0ffnt 1m Rum mo Moble Home Installation Fee S Energy Inspection Fee Is *R.scEtn 000 `amr. rim TOTAL FEE $ 3 • O m � � coZ a FEB DAP R DDD CDF— PARCF3 PD t, - This rhcrioaledl R is hereby issued under the applicable provisions tte County Code and/or Resolutions to do work above for which fees have been paid. . Date Receip'!I * [PERMIT EXPIRES ON WHITED. A.-B.D. CANARY -ASSESSOR PlMX4NSPECTO GGOLO-.NROD-APPUCANT ale caw-rRutnortt�maA main ME= Fireplace Total Valuation S 'RCW=ORWGROM Firma Fee S 20.00 FRZM= OR SMESM MAL= ADOMS Permit Fee 6 ,' e'Z S CID Plan'Checidno Fee S 3 o D Energy Plan ChecMng Fee1116 S :23 1.o Z V - Dov : 11'e— PERMIT FEE WT= sumzvSmA7sw1ME PARDEI YAP PLUMBING 'PERMIT Filing Fee 20.00 Each Tmp,7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF 0 Duplex 0 Mobilehome Other Water piping 15.00 ^ s- Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New 0 Addition 0 Remodel 0 Uh' w 0 hs -ha dm 0 Other i� Bulldog sewer 15.00 �i, n k v l Moble Home S G W @20.00 Describe Work l ac )c 6q �Q PERMIT FEE S Q.DO • ELECTRICAL PERMIT Firmg Fee 20.00 Mein Service AMM ON LESS moo Maim Service km to +ow► 46.00 . NON OR ADMs ( a to 9.5CFT- "MOV emmm @7S0 • • FOWER Matte aswag em Ex. -Occu ounce ORhqWES m @ %AD eat o M Ex. Occup, v 5.00 *PERM FEE P. AM _ Tempormy Service 2x.00 SPA$ ble Ho&e Facirroes 20.00 mrWz23.00 OTM.$ERMIT FEE S MECHANICAL ERMIT Filing Fee 20.00 $ Heating $ Cohn Hood 6.50 Ventilation SIJ OVN T R54MVIEM $ '� Moble Home Installation Fee S Energy Inspection Fee Is *R.scEtn 000 `amr. rim TOTAL FEE $ 3 • O m � � coZ a FEB DAP R DDD CDF— PARCF3 PD t, - This rhcrioaledl R is hereby issued under the applicable provisions tte County Code and/or Resolutions to do work above for which fees have been paid. . Date Receip'!I * [PERMIT EXPIRES ON WHITED. A.-B.D. CANARY -ASSESSOR PlMX4NSPECTO GGOLO-.NROD-APPUCANT ale -�-�'i6n["�:�rt%�'�t�'�'��a�'Y�+`�'+�..�,r° `�;`YKi+�`yti�'iRvN 1'6.+''i,,'�..�N�r�'Kti+,�"'�i•.� �,r��.lj�•�t1'�,Tir��t.,-��^ � 1���" l�'�;.��'�V�; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER23 .- Proposed Building Use: *Counter Technician: Date: 7 r} Items required in order to appl for a permit.�All boxes MUST be checked OR marked NA in order to apply. 7' -1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. .42. 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 duulicate. 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......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) L : h ;❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... .1.5. 'S,tatement of Intent for Non -heated and A/C Buildings .................................. 4me-1 ... * 6"4S'anitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit................................................................../ ..... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: 0 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... (WE roact ment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Inspection for � M M- P-C.L✓V� iI required ................ tractor's license information. ( umber, Nam Style, lassification)...................... ❑ 24. 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..................................................... 1 ❑ 29 Existin violations and/or ex ired ermits� gp p ...................................................... ❑ 30. ^rant Deed, 5MB. Title/Statement of Facts,`C Miter from Legal Owne , eck to H.C.D. $ ❑ 31. Other: When issued Telephone OA and hold for pickup. I have been io-F ed of thyA bove items and requirements for obtaining a building permit. Applicant: \ / Date: `� 7 1. Index permit application for the above -items numbered: d� oK oqaPlan Check Letter 2. Additional items re' d Contractor, designe , owne as advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: D Contractor, designer, owner, was advised of the abov7 data by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: Plans approved by: Date: 2JIa 1-p Structural reviewed bDate: Structural approved by: Date: 'Note transfer by: Date: Yellow: Buildine Division REQUEST FOR . SPE/C�,TION Permit No. G 3n^_ D� 0, cation: 3`P r 12 1 Owner: �1 / f V—C( Contractor: Call Phone: BLDG.VIMECH.MB/MECH ELECTRIC H.UM. PRE - INSPECTION Form Rough /Ftg Frame/Underfut Stucco Lathipinglrest Stucco Brown Woodstove Gas Piping Temp. S ice Mai eZce erground ell Circuit Corrections Final Job Status Permit Renewal Verity Utilities Ex Mobile Site Brace Panel Piping POOL Insulationr PanNailingGunite DemoBonding Correctionstions CorrectionsFinalFinal Light Niche Ready for / Corrections Final Inspec. on lDate: Comment: PRE -INSPECTION REPORT owNER: G d Si le; ra LOCATION: 3 (P;� V- (o 0 To v : Q •e CONTRACTOR: 6 w PRE-INSPETION DATE TO INSPECTOR: A- S — d 7 PERMIT HISTORY:( ) NONE Building Description: CommaziaUUsage:" Residential/il of Units: Currently Occupied Abandoned/Vacant DATE:4'*cC193 A.P. -7f-2� ZONING: (may dr.o LOWS: BUILDING INSPECTOR'S REPORT Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems ACTION RECOMMENDED: ISSUE: HOLD FOR I l%X Inspector. — ro/ Date Sketch buildings on reverse and indicate location on proper' o7 ly a3 )! V, 0� f° /55ve �e COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUIL NG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 538-7541 PERMIT N0. (Rev.1.2/96) APPLICATION AND PERMIT AssEssoRPMCE1fN6AjEA int°"' BUILDING PERMIT Owmm -UA- 1 W • 7F18MONE $0. FT OCC. BUILDING VALUATION �s MQUND ADDRESS Z CONMAC ORS NAM- TEW7KQNF. cctM ;tS 4 QUM ADOR'= . . CONSTRUCnONLENDER - 1 �1� MW= ADDN= Fireplace Total Valuation $ Q AReNnEetoRe u�sENa Frim Fee S 20.00 ARCNt1ECr OR 9+GR+E�3i5 MUM ADOAESS Permit Fee 6 � � S �� �,� Plan Checidn Fee $ 3 - v D Energy Plan Checkhg Fee $ s 3�Z V- ?o Dov:l(�- PERMIT FEE S - FJ D"ISCNSKum PaRCEL�aP PLUMBING "PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF 17 Duplex D Mobilehome 1P Other Water piping 15.00 ^ zpmwy Each as water heater or vent 15.00 71'PEOFWORIC Gas pipinq sysbm 1 -5 outlets 15.00 +kw a Addition O Remodel 0 Ute G Installation O Other � Buutng sewer 15.00 Mobile Home S G W @20.00 Describe Work - PERMIT FEE S D. 00 • ELECTRICAL PERMIT I Filing Feel 20.00 MaSeniles( in SenQ00Y 0cmR uUmms 1 2&001 1 *PSUUT FEE ?Alb SRI SNER.IFF , arm. AMOV `f l �E.C= rb •RZCxt1° NUAAsW * To ae sur sNro co $ fJ SSrAC® ( *A 70 10-A OUTLET OR S Feel 20.00 6.50 PERMIT FEk S Mobile Home Installation Fee ; Energy Inspection Fee S CD!T'FE TOTAL FEE $ lIAZ I LFM31 WP ROOD I ODF I PARCEI. PD ND MUS This permit is hereby Issued under the appr=ble provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Ree4ft. PERMIT EXPIRES ON WME-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date ,REQUEST FOR INSPECTION Permit No. Location �ct v.f�(� �N eowner: Call L] Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough h Fnd/Ftg Frame/Undertloor Top O D�'em .Service Job Status Stucco Lath Ga Pi i e Service Corrections Permit Renewal Stucco Brown Te . G' Und ground Final "'es Woodstove ,Se er ipi Well Circuit Ex Mobile i Brace Panel W ter Pipin POOL Insulation Shower Pan Nailing unite Demo nding Corrections Corrections C)rec Date: Comment: Li ht Niche ions Final Final Final Corrections Ready for Final Inspec. on. Date: Comment: PRE -INSPECTION REPORT D �3�2 LOCATION: �' �o r..�G �l� v �•o CONTRACTOR: d wvc/ PRE-INSPETION DATE:_ c;--1 _3 A.P.#--36-- 071-aZs ZONING: d DATE TO INSPECTORZA PERMIT HISTORY:( ) NONE V1 FOLLOWS: BUILDING INSPECTOR'S REPORT y. Building Description: Electric: Gas: Canraer+ciaUUsage: Rcsidend&Y# of Units: Currently Occupied AbandonedNacant Yes No Electric currently On Off Condition of Electric Natural Propane z None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems - Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR - — Inspector. Date Sketch buildings on reverse and indicate location on proper' 0 ------------------ W, - - - - 2 385-.Z LN 176.75 7 T 1 89 C. r f -10 (A (Aj LN 176.75 7 T 1 89 C. r N m - m N m Lo p R- Ir (4) REQUIRED 1/8- LAD pt_AIFD BOLT. NUT do WASE COUNTER gOREO FLUSH WITH BOTTOM REOUIREO AT d- O.C. \ (g) l►1. CONCRETE PAD tNSTALLATIot4 POURED IN PLACE 16x16x12C04NCRETE FOUNDATION INSTALLAT atASSIS FRM& 1/4•• GRIPPER PLATE (2) REpU1RED GRIPPER BASE - 1 -Soul wtto Nuts ;'- (4) REau tiD SI 1/2- Sm � AiKD 5/9 Vag sl/2- TWK TOP PLATE `2- SC H 40 TER ST WITH TWO 01/27 A"Z Q -• ASCO ABS PALO f503 -� STEEL FRAME M. MAX. TO BOTTOM (W PAD i i LOCK PIN ylTTN 01/8- BRTME PUN LIGHT FtEAVY-1NEIGHToN PLASTIC PAD ItISTAL.LA >� 110ME ia7Lsc—ice MMaF 1 7 7 - Ii01E 2k 11P (t) uP m a a =1 say r a ,a a le ' -1 i• i t4 12 72 24 p�-1' M 7O OF.n -t 10':-AtiQtl�![D . _1- 4 2D 2t1 1R...: ... _:. � OF 111E -t REOt� - ' ' = • � . _ VE PAM Gas S"aE VME OWM. R MUNIE (4)hS.AEQUAL M1EMAS At�o * EAW .'FRA1E ttl111- . To BE CED At 11�ftO MR E AP POV AL ' T(JF ND—t PERMANENT FOUATION SYSYEti1 AHESCO-GUS MRKDS AD S951 MCA 95823 SACPH: (800) 382-8831 fAX: (916) 383-5207 0 -942d9 SNEET 3 ,r 3 WAYNE T. POLVADO, PE—LISTING NO - O G U UF— k GENERAL 1, n IGH LOAI2s: 7*L"NE LOAD 30 FL6A6R AKiYE. LOAD EXPOSURE•C. MM asmic VjjO' ff _E NOTE' rRU ED ON THE LOADS EEDS, 1/4% AND rrm&kCTED. SAND ELEUI�"�DKS_70 PLATES-ASTM A3715 OM Tws PAcE sKALL BE USTED AM 'Fm IRE FOLLVNIMLows* VENMAL HorazolffAL, pv- 2:200f. SOODf PAD 2200# 600O# giSpEC110N.THE ESTV&IOR SHALL ENSURE CHASSIS -BEAMS ARE OF STANDMSECTIO"' K FORCES By CQACFIEs NAY BE RETROFITTEDyi15 GUARD to RST1 SEm_ ng- I L44TS AS WW ON TINS PAGE OF TYPICAL TUF_j SYSTEMS ARE SAFE MR WM'MMN IN FLOOD 14, us Gtm OF nDODgoo MM EMCEED 7K MW :�PLM AREAS WWM DEPTH OF FamAnN BLOCKS jr,'x 16'x12' POURED M PLACE AT GROUND LEVEL MAY SE USED AT INSTALLERS DtSCRET00 ALTERNATIVE To PADS. DOUBLE/MULTIPLE COACHES sWGLE WIDE COACHES E= 2' MIN. � t' MAX' E= 2' M04. / 8' IAA)L S= 6' 22' MAX - S= 6' jam- /16, MAX. IE ABU ON SHEET VARIES I q (SEE 7 E E SS_ SUPPMT AS RIDGE BEAM MAWWACRWER REOURRED By (T`fptcAL) o Lj EI' WM. MAY BE STANDARD N.K. FO"UW pvt SE PADS IN ANY PAIR I RECOMMENDED By ROTATED 90 DEGREES OR PIERS AS THE mWUFxCTURlE`R. OR THE YP SIDE 10 THE .MANUFACTURER T14ROU OFFSET TO OTHER.AyolD CLEARAWCE PRO". M 7 APPROVAL 7 STATE A as of 5 THREE FEET. z IS �hccgqABLE PROVIDED F, G I,- wa ITS L*IDElt EACH UNIT IS u o (0 -Twt.E UNIT INSTALLATION ��, , �cc q > —1 ra 04 THE NUM13ER OF TUF u') . SHOWN REoLnRED PER EACH UNIT - THE SAME AS OF c CD AlRESTRW. * (SEE SHEET 0) SINGLE -M U)NTS REQUIRE ADW" 5 5 12. ffnS SRM BE MTRIM COATED. < g 3. ALL METAL COMPOKIM AM X"ACNWCM 'n z SLAB IS IN 1EXtSTANCE. PAD IS NOT Tt)F—1 PERMANENT 14. WHEN CONCRETE CD STAND 10 CONCRETE SLAB WITH ig na p[OUWM,- AWCliM MGM I_. 0 1FOUNDATION 51'�)ILM GD FOIA (4) 1/2% 3 1/2" EXPANSION AMC x X — WARD TUF-1 FOUNDATION SYSTEU PROVIDES f'r% COWANY C14 A 5. %. NOW LOAD TO 100 PSF WHEN INSTAILU 1-i3r-a CD ALLOWABLE S ROM) co STANDARDS REQUIRED By COACH 5951 FLOFLN - PERKWS WITH EXISTING S MANUFACTURER OR REPLACE THEM 014 A ONE TO SACRAMEgM. CA 95823 PH: 800) "'82-8831 Lo ONE BASIS. FAX_ �916) 383-5207 LD CSD WAYNE t onVAnf)- PE—LISTING NO. F94249 saEo 2 af 3 J 9 T L p,: c M1. 9 N Ifl f7 OD m 2'x 2"x _s/lb�j o" CAD �.r �� o ,.,'. X' YY.'S`tER ^�JACH �r� FRAME — ER ANGLE COUNTER BORED FLUSH WITH BOTTOM 2' CHANN£L� AT 8' O.C. (B) REQUIRED 1/4' STAND BASE TEK STS (2) REQUIRED i - ABESCO ABS PAD #503 DETAIL "A" CHASSIS FRAME 1/4' GRIPPER PLATE (2) REQUvRED' °- 1/4' GRIPPER BASE 1/2-13UNc-A307 : BOLT WITH NUTS (4) RE0UIlRED 01 1/2' SCH 40 PIPE RISER *KH � I//2- ADJUSTER HOLES AND 3/8' THK3C TOP PLATE /2" SM 40 PIPE STAND WITH TWO 71 it/2' ADJUSTER HOLES — ABESC.O AM PAD #503 STEEL TRAME SEE DETAIL "A" / 36" MAX TO BOTTOM OF PAD IS/T"x 3' C_R. LOCK PI11 HATH !I/8' BRIDGE PIN 1 J 1/4" GRIPPER BASE 1/2' A307 BOLT (2) REQUIRED 3/3'x B'x 6' STEEL PLATE 1/2" A307 BOLT (2) REQUIRED I----10.00 F 0 0 10.00 09/16 HOLE (T!P)--- STAND BASE TOP VIEW wo, ? via TUF-1 PERMANENT FOUNDATION SYSTEM AHESOO-(SUS GUARD CCWANY 5851 FLORIN - PERKINS ROAD 34CRA1ENI0. CA 9SB23 PFI: (800) 382-8831 FAX: (916) 383-5207 1/4- GRIPPER PLATE C BEAM ATTACHMENT J-8EAIS ATTACHMENT -J" FRAME 1—I/4' STS 'OUIRED 114- GRIPPER BASE 1/2' A307 BOLT (4) REOWRED WAYNE T. POLVADO• PE—LISTING NO. E94249 SHEET I of 3 P + $ g' 1/2DUL_ HOLE (3) PLACES �•_--- 30- STEEL FRAME . TOP VIEW +; STATE APPROVAL-.-,-�', , - 8rl Q � >� WAYNE T. POLVADO• PE—LISTING NO. E94249 SHEET I of 3 P RECORDING REQUESTED BY: ' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAVID SILVEIRA AND SUSAN SILVERIA REAL PROPERTY OWNEWLESSOR 2362 V-6 ROAD MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 2362 V-6 ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP , UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-0225 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. LANCER 1976 ROYAL KNIGHT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B24959 56'X 10' MH235811/12 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 036-071-025 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION (Information pertaining to co-owner statutory requirements appears on the.reverse side of this form.) DESIGNATION OF CO-OWNER TERM This unit is a: [ X ] Mobilehome [ ] Commercial Coach [ ] Floating Home [ )Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) LAS7127 ROYAL KNIGHT A24959 LAS7127 ROYAL KNIGHT B24959 We request the Department of Housing and Community Development to register our ownership interest in the unit described above with the following co-owner term: (READ THE FOLLOWING AND CHECK APPROPRIATE BOX) JTRS, Joint Tenants with Right of Survivorship Upon the death of a joint tenant, the interest of the deceased party passes to the surviving joint tenant. The signature of each joint tenant is required to transfer or encumber the title. TENCOM AND, Tenants in Common with the names joined by the word AND Each tenant in common may transfer his or her individual interest without the signature of the other tenant(s) in common. The signature of each tenant in common is required to transfer full interest in the title to a new registered owner or to encumber the title. TENCOM OR, Tenants in Common with the names joined by the word OR Any one of the tenants in common may transfer full ownership interest in the title to a new registered owner without the signature of the other tenant(s) in common. The signature of each tenant in common is required to encumber the title. COMPRO, Community Property Full ownership interest in the title may be registered as community property in the names of a husband and wife. The signature of each spouse is required to transfer or encumber the title. SIGNATURE OF EACH CO-OWNER: Date THE DAVID SILVEIRA LIVING TRUST DATED 1/19/00 By: _ DAVID SILVEIRA, TRUSTEE By:. SUSAN SILVEIRA, TRUSTEE HCD 483.1 (REV 10/86) Reproduction by SMS, HCD APPROVED 10-27-97 STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING SECTION APPLICATION FOR REPLACEMENT INSIGNIA SUBMIT THIS APPLICATION WITH THE APPROPRIATE REPLACEMENT INSIGNIA FEE TO THE DEPARTMENT OFFICE AS ADDRESSED BELOW; PLEASE REFER TO THE BACK OF THIS FORM, FOR INSTRUCTIONS. MANUFACTURED HOUSING SECTION P.O. Box 31, Sacramento, CA 95812-0031 (916) 445-3338 1 COLLECTION NUMBER FEE RECEIVED $ DATE APPROVED DISAPPROVED CONDITIONS (See Attached Letter) MH Program Technician's Signature I/WE REQUEST REPLACEMENT OF LOST CA INSIGNIA(S) OR HUD LABEL(S) FOR: (CHECK APPROPRIATE BOX) ❑ MANUFACTURED HOME & MULTI -UNIT MANUFACTURED HOME APPLICANT ,1 `�I� Si t E STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES. AND STANDARDS REGISTRATION AND TITLING PROGRAM POWER OF ATTORNEY Decal (License) Number(s) Trade Name Serial Number(s) LAS7127. ROYAL KNIGHT A24959 , i LAS7127 ROYAL KNIGHT B24959 To the Department of Housing and Community Development, and to whom it may concern: I (print full name), SILVEIRA, TRUSTEE DAVID (bast) (First) (Middle) . I (print full name), SILVEIRA, TRUSTEE SUSAN (Last) (First) (Middle) I (print full name), I (print full name), (Last)irs i e the undersigned do hereby duly appoint the following named.person, Mid Valley Title & Escrow Company to act as my attorney in fact, only to sign papers and documents that may be necessary in order to secure California registration of or to transfer my interest in the above described unit. I further agree to guarantee and save harmless the State of California and the Director of Housing and Community Development from all responsibility which might accrue from the issuance of California registration or transfer of such unit. NOTE: An attorney in fact cannot make an affidavit or certificate of the truth of facts unknown to him. rf Signed: Date: THE D ID SILVEIRA LIVING TRUST DATED 1/19/(00 Signed: Date: /-" 1 UAYM—SIEVEMA , TRUSTtE Signed: GZ�_ Date: A/�/ SUSAN SILVEIRA, TRUSTEE Signed: HCD.475.4 (REV 5/92) Reproduction by SMS, HCD Approved 10-27-97. Date: S C A M E R c'ti x Mid Valley TitleA Escrow Company 2295 Feather River Blvd. # A, P.O. Box 1068; Oroville, CA 95965 (530) 533-6680 FAX (530) 533-3018 CALIFORNIA MANUFACTURED HOME SELLER/BUYER ESCROW INSTRUCTIO TO: Mid Valley Title & Escrow Company Date: 8/29/02 2295 Feather River Blvd. Escrow Officer: GOLDIE HONEA Oroville, CA 95965 Escrow Number: 200729GH Telephone No.: (530) 533-6680 MID VALLEY TITLE &ESCROW COMPANY islicensed by the Department of Corporations, License No. 158: Buyer herein is purchasing from seller the manufactured home and accessory structures described below and will hand you or cause to be handed you the consideration as follows: Terms of Transaction which represents payment for the manufactured home describedas: MANUFACTURER MODEL/TRADE NAME YEAR WIDTH LENGTH SERIAL NUMBER(S) DECAL NUMBER(S) LABELANSIGNIA NUMBER(S) :LANCER : ROYAL KNIGHT :1976 : 10' :56' Unit 1: A24959 Unit 3: LAS7127 MH235811 Unit 2:1324959 Unit 4: MH235812 The escrow fee and HCD fees which you are hereby authorized.to disburse prior to close of escrow at your discretion $200.00. accessory structures to be included in the purchase price are: NA Escrow holder is instructed to order a formal search of title.from HCD. Seller will, prior to close of escrow, cause to be deposited into escrow the current registration card, all copies of the registration cards held by junior lienholders, and the certificate of title. Prior to close of escrow the seller will cause to be delivered into escrow a signed and acknowledged conditional lien release of all rights, title or interest in the manufactured home held by legal owner, junior lienholder or other lienholder. Such release(s) will be conditioned upon receipt of payment from escrow of the amount set forth in such release(s). The name and address(es) of registered owner, legal owner, junior lienholder or other lienholder is: SYLVIA ROSE GLIDEWELL Buyer's title to said manufactured home shall be held as follows: _ Location where the manufactured home and any accessory structure will be delivered and installed and buyer has agreed to . accept delivery: _.The manufactured home is presently installed and buyer agrees toaccept delivery at: If the present location of the manufactured home park at time of sale and manufactured home is to remain in said park, buyer will sign a statement indicating that they have agreed .to the terms of the park's rental agreement. Said statement or a copy of a fully executed rental agreement signed by buyer will be delivered to escrow prior to closing. _ Buyer is to obtain a new loan to help finance this purchaser - Receipt into escrow of lender's funds and instructions together ADDITIONAL INSTRUCTIONS ATTACHED HERETO AND MADE A PART HEREOF My initials below represent my agreement and acknowledgment of the foregoing. Seller Initials: _ Buyer Initials: -� Page 1 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: DAVID SILVEIRA, TRUSTEE oZ 3 QD v to 0V2-0\)'1 I 1 , CSA- III�'�I II' � II'I I'II"I I" IIII�� I'I Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:09PM 06 -Sep -2002 Above This Line for Recorder's Use Only I REC FEE 10.00 I TAX 38,50 I I I I Myles I Page 1 of 2 A.P.N.: 036-071-025-000 Order No.: 200729GH/ORO-C Escrow No.: 200729GH GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $38.50 [ X ] computed on full value of property conveyed, or [[ l computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of OROVILLE , and i1f FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, SYLVIA R. GLIDEWELL, a Married Woman as her Sole and Separate Property hereby GRANT(S) to DAVID SILVEIRA AND SUSAN SILVEIRA, TRUSTEES OF THE DAVID SILVEIRA LIVING TRUST DATED 1/19/00 the following described property in the City of UNINCORPORATED AREA, County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. � r SYANIA R. GLIDEWELL Document Date: August 29, 2002 STATE OF C, COUNTY OF On ?, E personally appeared personally known to me (or proN instrument and acknowledged to the instrument the person( WITNESS my hand andP/ I )SS before me, C /GI i e /% /•1 e t Tl+l� y V1, Into me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within e that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on entity upon behalf of which the person(s) acted, executed the instrument. This area for official notarial seal. GOLDI E HONEA Commission #1351367 0 IL Notary Public - California m Butte County My Comm. Exp. APA. 14, 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below " A „ Description Order No. BU -200729-3 GH The land referred to herein is situated in the State of California, County of Butte, and is described as follows: ALL THAT REAL PROPERTY SITUATED IN SECTION 21, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING A PORTION OF LOT 3, BLOCK 17, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF VILLA VERONA, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 3, SAID LOT BEING IN THE CENTERLINE OF V-6 ROAD. AS SHOWN ON SAID MAP; THENCE SOUTHERLY ALONG THE EAST LINE OF SAID LOT 3, 361.50 FEET; THENCE LEAVING SAID EAST LINE, WESTERLY AND PARALLEL WITH THE NORTH LINE OF SAID LOT 3,120.5 FEET; THENCE NORTHERLY AND PARALLEL WITH THE EAST LINE OF SAID LOT 3'-'361.50 FEET TO THE NORTH LINE OF SAID LOT 3 BEING THE CENTERLINE OF SAID V-6 ROAD; THENCE EASTERLY ALONG SAID NORTH LINE 120.5 FEET TO THE POINT OF BEGINNING. APN 036-071-025-000 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 s SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 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. # D .- DATE / RECEIPT # DATE REC. At time of permit application,; -pas advised the above fees are required to be paid prior to issuance of the building permit. These fees may be chaned ng the 1checking process. j AP LIC D v� 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) O.B.-1 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 Yk- NO ❑ 2. I HAVEf�—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: 4. I plan to prov supervise, and NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. of this work, but I have hired the following person to coordinate, ma j or work: CITY: :LICENSE NO. 5. I will provide some of the work but I have contracted the work indicated: NAME ADDRESS PHONE SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBED DATE:_ (� 3 following persons to provide OF WORK 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 OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1 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. +rely,Vi ira,C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Q"V 0) --A RESIDENTIAL y ! 0?6-07.1-025 92-0018 GL I DEWEL:L, SYLV I A CONTR: UNKNOWN "2352 V-6 RD, OROVILLE MH UTIL 1g3 t IOFFICE COPY ;4 Address GAS Dat Meter IC By ELECTRat� Meter By _ JOB FINALI Signatuee J=OK O=Not OK Not = Not Readyabl- MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s oning Requirements -Setbacks -Easements Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete rater; Loc tion -Test -Easement Needed (Sketch) ctricity; Location-Clearences-Grnd-/ /Amp -Concrete -Wrap: / /" L"ft. / /"Nat. /" L"ft./ /"LPG LW nce & Disconnect tility Clearance sUYL_ :�t 00 Date-T-7`l�Card 13-1 „ Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s -r-fo—pung Requirements -Setbacks Easements oq' gs; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector le ricity; MH Test -Crossovers -Breakers -Clearances D 'h; MH Test -Fall -Flex Connector W ; MH Test -Regulator -Connector and Sewer Connected -C/O to Grade -HD Approval G and Electricity Tagged E s; Insp.-Sketch 1 Cert. of Occupancy Date3, d and B-1 Date Card B-1 Date Card B-1 Date Card B-1 elt 44c_ TT / GP -r O �R MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I9VSto ver i fy 2e ✓n over O -P d conpeof;o�5(9agd e%tj Pjr1n� tai V.c,rS� l J=OK O=Not OK = Not Applicable RESIDENTIAL (; ' = Not head6ady Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping:, size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air-Baffie ----------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ----- --------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------19.- Shower - Pan; - Test. First Floor -Tub Access ------ ------------------ 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date ---- -Card B_1 -- - Date - Card B-1 Date - Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. ------------- Elec. Receptacles Spacing -Lights & Switches at Doors ------- ---- ------------------------------ 24. -------------- -------------- Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. ------------ -------------------------------------------`------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ---- --------------------- 27. ---- --------------- ---------------------------------------------------- 2 Appliance Circuts in Kitchen & Conductor S1zerGFl 22. -------------------------------------------------------- Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ga. - Cu or Al - ------------------------ 29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral IJ Yes 0 No ----------- ------- ------------ ----------- - - --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - --------------------------------------------- 31. ---------- Equip Clearances Panels -Motors -Meth. Equip. -------------------------------------------------------- 32. ----- --- --- - --- Clothes Closet Light -Shower Light -Spa Light -------------- ----------- -- -------------------------------- ----- -- -- - 33. Smoke Detector ----------------------- --------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------------------------- ---------- ------------------ ------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet --------------------------------------------- --------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------ -------------------------------------- Date Card -B-1 Date Card-6-1-- Date ardB-1Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- -------------. - ---------------------------------------------------------- 40. Walls Studs -Nailing.. Spacing -&-Bracing-Plates-Sound ------- -- - --------------- - -- --- ----- ------ -- - - - 41. Bearing Walls over Girders & Floor Nailing --------------- - ---------------------------- Draft Stop in Walls (rat proof) --- ---------------------------------------- ----------------------- ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub --- --- -- ------------------------------------------------ 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) i Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensicns 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------- __ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ---------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- _ 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------------- - Date _ __Card B-1 _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------- ------------------- 64. Bedroom Exiting ----------------------------- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67.- Stairs & Rails ------------------------------ - - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- --------__ 70. Kit.Fixt. & Appliance: Grnd.-Air Gap-CookingClearance 71.--Elec.-Outlets & Receptacles at Kit. Counter 72. -Garage -Fire -Door: Swing -Landing -Closer - ------------- 73. A.C. Duct in Garage -Damper 74. WtrOHtr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & M_ech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------- - - 78. Guard Rails & Deck Construction -Post Caps ----------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks 0 Yes ❑ No: Planters Yes D No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing --------------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing i55. --Exterior- -- -Elec. -Trim;--G.F.I. Receptacle -Underground ----------------------- --- 86. Ventilation Throughout House -- --- -------------------------------- 87. Glass Protection ------ --------------------------------- -------- 88. Corrections from Previous Inspections ----- ------ ---------- ------------------------------------ 89. Gas Test -Meters Tagged: Gas -Electric ------ --------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------------- ------ ---------- Date--- Card B-1 Date Card B-1 ---------------------------------------- -- Date Card B-1 Date Card B-1 --------------------------- Date ------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: t MOBILEHOME INSTALLATION ACCEPTANCE �. COUNTY OF BUTTE t, DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 5384541 a+ �R PERMIT NO. 9 i .y Address or location of mobilehomome`;2 311 V-6,, )�!-P Owner's rtame � � / 1 n ,L,'ll S YL VIA - Owner's address ` Insignia or hud number Z3 / • Manufaname ct T ' Serial num er of VL.I.N. 13 � Yearofmanufacture IC (Official A roving I al lotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION:. ACCEPTANCE SktALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME W NSTALLED ON A FOUNDATION SYSTEM. y r 513B White - Owner, Yellow - Installer, Pink - D.P.W &-Z/ OWNER COUNTY OF BUTTE I DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -�AJe4C.._ PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,rte 1.3cr RV lY :1�1 11 vir-c Date '3 ( O � Z Ins pecto a/f—A t� in r Seg 4, ri nn r er �ou✓/ GONGrC.T� a-�¢.r— lwg�g��Ory � ` ,j 4,o (� h /Lt fF 4 1 At #X - BUTTE COUNTY PUILOJNG DEPARTMENT / COUNTY OF BUTTE - DEPARTIjENT OF PUBLIC WORKS J/ 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PER IT NO. A Aga ESS R PA CEL NUMBER 36-071-025 ZONING A R BUILDING PERMIT OWNER SYLVIA R. GLIDEWELL TELEPHONE 533-7350 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 1972 OROVILLE CONTRACTOR'S NAME CEASAR IIMERCADO TELEPHONE CONTRACTOR'S MAILING ADDRESS 1420 21st STREET OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS V-6 ROAD OROVILLE 2352 Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: MH I 9 BDRM _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOAI 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) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP OR ACDNS. ( ACC. BLDGS. M / 3.64 sq.ft. NEW CONSTR. ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXIPRESID )D0R Ex. Occup. I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1 l�� Date /� ,1 n o" 'T � Signature of Applicant'— Owner Contractor ❑ Agent ❑ An OSHA ion of strucurfstoverr3Qstoriesain heigvhtions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ 70.00 Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE 105.00 rlAz e I DZIMP F71 CDF I PARCEL PD D Iss This permit is hereby issued under the sions of the Butte County Code and/or work indicate �bovewhich fees EF PUBLIC PERMIT EXPIRES Date 2 applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �i WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT l IJSPeCTa2 Td U EQ ipy W rnCVA C o -r- r- I'n',pLwW-6s t zaNIjCcrcoY, s (� ��� T) y��2co� � INSpec-me Ta V�-2tf`( 2Ern0vkc OF rr' AppUAa,jCC,&, &�,s CoN NECT'ON�- Pt pi tib Foe ( AKzel ac--cri (FECepr Fc ->e ?.C-F2(G. COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC'WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �[ Permit No. OWNER L C__ A. P. o. </ Proposed Building Use 741 Building Inspector Date At time of permit application, I was advised.the following data must be submitted prior to permit processing and/or -4—All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans. lgtl(lCt� Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. Engineered truss details and layout in duplicate (required prior to plan check). 9. obilehome installation data including manufacturer's installation instructions. 10.'Fees of 1 . Chico Urban Area fees paid. 1 Park fee aid 3_�� School (strict fees paid. anitation approval from 029 Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 3. Owner -Builder Verification (Given to owner , Mail to owner ❑). �❑ 4. Recorded copy of Agricultural Acknowledgment Statement. 25. Let�tej% of signature ,author ation. 1 (� —� 26. /V e c1 /Yl (/( ©r` e - 7t1 �n S �e? V 1 4 t J i i ICA 27. When you ' sue the permit, process as follows: Mai ,t% r. Mail to contractor. elephone 53 ,%?Sand hold for pickup at (iffice. Other Deliver w/inspector. GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 10:00 a.m. Paradise. 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant 7W/5 AFD y- tt) 4 EIV 7L/ IS a COUNTY OF BUTTE - DEPAATN1ENt OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Cellfornla,95965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT ASSESSOR PARFEL NUM ,, —o / Z_<; - Z O G BUILDING PERMIT OWNER,L �L I/ . 61/O5W 2 TELEPHONE 3 SQ. FT. OCC. BUILDING VALUATION OW MAI ING ADDRESS 0 V/LL CONTrT Q{: 'S -N AJ..t E: c\5MAILING� TELEPHONE COOJTR ADDRESS �� J / / / �- (/ v I Fireplace I CONSTRUCTION LENDER UNKNOWN Total Valuation $ Tiling Pee `"�' 15.00 LENDER'S MAILING ADDRESS Remit Feb $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRg5S /Z (P 3 SS — `7 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE- SF ❑ Duplex[] MobilehomOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home _FSTG FW7 615-001 TYPE OF WORK New _, Addition ❑ R/e�moddeI II Utilities ❑ Installations Other ❑ Describe work: 2— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 1$,50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 J I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING oCCUP.&) OR ADDNS. l ACC. BLDGS. II 3.66sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS ^ 5 00 /POWER APPARATUS &) ISINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS FIXED (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 ❑ onstruct- i n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion on of structures over 3 stories in height. Mobile Home Installation Fee SQ,U� Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES O tU(� HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: SU /V C( oJeWC-1 2. Installer's Name: L.l) YlL- F-] 3. Is the site currently under permit? Yes No (If yes, furnish permit number i -o O 1) OR Is the site an existing site? Yes U No N/1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes U h No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- 100 Amps 6. What is the mobilehome site service rating? ------------- ©� Amps 7. What is the mobilehome site circuit breaker rating? ----- 100 Amps 8. Is there any other electric load to be served by the mobilehome site service? ----- --------------------------- Yes No 21 9. 10. (If yes, identify the load and size: (Load) (Amps) What is the mobilehome site gas pipe size? -------------- (in.) What is the type of gas service? -------------- ----- Natural '-9— LPG L, What is the gas pipe length from meter or tank to the mobilehome?-------- ------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (ft.) (BTU) *(This' information not required if pipe length less than 6 t./0Q natural gas or less than 50 ft. on LPG.) #;� .Bu BUtLnff4G :DEPARTMENT APPROVED C� wp19� MOBILEHOME SUPPORT DATA If other than single wide, tTr - Mobilehome Mfr. havlc6y^ Xt11&bt furnish Setup Model No. �4 Year �U Width dU (ft.) Box Length (ft.) Tagalong or Expando Size ft-, x- ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.D 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams — — — — — — — — — �Line v Tag or Triple ine 4 .� Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ "x Spacing -Max- --------- „ Each Side of Openings From Ends -Max. ------- ' With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.- ----------- ��{ „x Size -Min.------------------ „x Spacing -Max ---------- C7�,_ „ Spacing -Max---------------- ,_ „ From Ends -Max.------- '- ®" From Ends -Max--------------- I_ Line 3 Roof Loads:tA O r t� 1 h \ Y Size-Mir..------------�d„x „ „x „ Ix „ „x „ „x „x „ I „ Location (From Front) _ _ _ _ _ '•. _ ” Line 4 Piers: Size -Min .------- ---- Spacing-Max.--------- From Ends -Max .------- _ Bearing Size -Min .------------------ Spacing -Max---------------- From Ends -Max -------------- Line S Roof Loads: Size -Min. ------------ ,x „ „x „ -A „ „x „ ,k „ „x „ Location (From Front) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,i0allforrn 95965 - Telephone: 916-'538-7541 APPLICATION AND PERMIT :T PERMIT NO. ASSESSOR PARCEL NUMBER 036-071-025 ZONING ♦ BUILDING PERMIT OWNER ia Glidewell TELEPHONE 533-7350 S0. FT. OCC, BUILDING VALU OW;;7 N R'S MAILING ADDRESS PO Box 1 72 Or vill 95965 CONTRACTOR' SNAM r Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ +5 -.Ga LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS2*152 6 Rd, Oroville _ Permit fee $ 20.00 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 SF ❑ Duplex❑ Mobilehome®X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I W N I XV @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U Installation❑ Other ❑ Describe work: M1HU _ Permit Fee $ 00,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 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) 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 CONST.( OR ADDNS. DWELLING OCCUPACC. SLOGS.M / 3.54 sq.ft. NEW CONST FL ULTI.OUTLET NON.RESIC)BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET SIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 AL 4F; FIXED APLINIS EX. OCCUp. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $ 48.50 — 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. Ig I shall not employ any person in any manner so as to become subject �1 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 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 ;agaXitaid Ckty i consequence of the granting of this permit. �) m2e Date ` V 7� Si natuA g pp – OWner❑ Contractor❑ Agent❑ Applicant re of 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 $ 128.50 HAZ 1 0FEES IMP FLOOD — COF PARC PD HD ISSLjE j/ This permit is hereby issued under the sions of the Butte County Code and/or work indicat ab ve f hich fees T PUBLIC PE ff EkPIRESDate applicable provi- resolutions to do have been paid. WORKS ate 3 ZBy Receipt NoBS WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE-SDEPARTME 13 ,LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE s OROVILLE, CALIFOR IA 9596 - LF�p,HQNE: 916/538-7541 PERMIT- APPLICATION DATA SHEET Permit No. OWNER _,/ 1 Ula 411deCtjdt • A. P. No. Proposed Building Use off 0 Building Inspector &4) Date 03/9�?_ At time of permit application, I was ddvised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 1 ° APPROVED 1. All items have been suibmitted. .. Qk- 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in du/plicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 04 4. Sanitation approval from (WaQ/CLG Health Department f 2 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) �o,,,;, 44 -�—P+ann Trg-appprovai-fa se. h� � I �a�rkl� 18. 'Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Work m'ans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... OIL 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authnri7atinn Telephone and hold for pickup at 6M office. Other contractor.. Date) —Deliver w/inspector. Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1_ A A_ 1 r ! Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone =mail counter by date Plans checked by PAIL) - Date_iy19, 2 Plans approved by ICU Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle,-c,allfor6 a 95965 - Telephone: 16.'536-7541 + APPLICATION AND PERMITIF PERMIT N ASSESSOR PARCEL NUMBER 03 _ _ O 2S' ZONING A ie - BUILDING PERMIT OWNER ,wola, �GGtJP�( TEL-EPHONE 533-73.Q6 SQ. FT. OCC. BUILDING VALUATION , I OWN 'S MAILIOrG ADDRESS P0, 0 leex 1972 4U/ 95 S CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 116.0O LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g GlJ . Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS toad l7_.OU/(�� � 23 2 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Cias water heater or vent 7.00 USE OF STRUCTURE SF l Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.001 Awqs TYPE OF WORK New. Addition RemodelC Utilities([R Installation[ Other❑ Describe work: a// /% &312 oizi z. Permit Fee $ &d,QQ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,6b 50 /8, Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. / 3.6l sq.ft. NEW CONSTR. MULTI -OUTLET NO..RES'D BRANCH CIRCUITS) @ 5 00 POWER APPARATUS ti (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURESR 20 760 FIXED APLINISI, Ex. Occup. OUTLETS PIRESID IREA.� j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 /SrQa Misc. Wiring 15.00 Permit Fee $ , Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): - ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 $/28.50 HAz 1 0FEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. J0 67 �`� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V� � `M TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Hold final for: Final clearance O.R. for: Clearance for __a--'be4roc NOTE ** San VA 2 S� V-� AP# CJ L/ � Sewage Disposal _ _ Water Supply Water Supply Water Supply _ _ PERMIT NO. 3024-fZ/3A221-8.2P_,E PERMIT EXPIRES OWNER Geen & Joy Jarvis CONTR. Owner ASSESSOR PARCEL 36=071-25-` LOCATION 2352 V-6 Rd, Oroville i r 1 Temp. Power Pole Called PG&E Temp. Elec. Service v Called PG&E Temp. Service Called PG&E JOB FINAL.AD (Date) V Signature J = OK' �. 0 = Not OK „ = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS.. Date MOBILEHOME UTILITIES (P s) OK gxcept N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) (it, except it ¢lining Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors %Cfe"w­er; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Location—Tes asement Needed etch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing ( Electricity; o —cle nces /,*V Amp—concrete 5, Alum. Awn.; Col umns—Connections—Sp lice—Decal—Enc,cis ,res 6 as; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors ility Clearance 7. Elec. Card -BI —Date and -BI Date (7^ Card -BI Date Card -BI Date Card -BI Date rd -BI Date Card -BI _ Date Card -BI Date Date M BILEHOME INS ALLATION (Plans) OK except N's Date _ POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2, Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 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/O 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 r J = OK •'- O = Noj fi1K� -i- 0 . -'4 Not Applicable RESIDENTIAL (Siegle and Duplex) = Not Ready ` Date UNDERFLOOR Plans OKexcept N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 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. 13. Girders-Sills=Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date , Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails 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 N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct -in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 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 Card B-1 Date Card -BI Date Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. -Test Water & Sewer Connected -C/O to Grade -HD Approval - 32._ Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --- -- -------- - Date _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. _Sills; Proper Material & Anchors 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -_Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 24974-41 1—for the following location: Owner . Owner's Address Mobilebome Mfg.140-- '�� Model Year-. Insignia Na. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directtoor.of'P,ublic o ksa Date �W— By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. / 9L+ County of Butte mer~� DEPARTMENT OF PUBLIC WORKS '095 64eandep-A4m., Chico — 34a 044, E*&-M 7 County Center Dr., -Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 477-3431-- it 9.7- a SG/,' e Y zt,:r7 CORRECTION NOTICE .... 2z 21 - tS'� . .......................................................................... aBuilding or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office �immediately. t.; t. ........:............................................................. f.................................. r....:�.:T.... ........+....................................................- /J /l..l. i N AtJ ................................................................... ..................................... ........................................................................................................................ ....................................................:.................................................................... Date..�.'�.. ?rL..... Inspector .......................::J Do Not Remove This Tag (400-4) COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott,Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 1 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891 -?751 7 County Center Drive, Orovi Ile — Phone: 534-4541 ` Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE aLZ 41 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. i % . F T Inspector ir Date COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT %NO. � AZriESSOR PARCEL NUMBER 6_o ZONING BUILDING PERMIT owNERS7LEAJ �� �/7I (/Xs �f.', �Wllvs� SO. FT. OCC. BUILDING VALUATION OWNER'S�✓J C_LI G ApDji E55 _ fl ^� �CJ//,1/�/ o[/G/i/ V t&C 6.7f5/(S'' . CONTRACTOR'S NAME/(/_ W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee N #1 ,$ .U(� Penalty $ ARCHITECT OR ENGINEER"S MAILING ADDRESS ' Permit fee $ ��ESS v_ / BUILDGING A9X /Y/� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 n�, 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 Duplex❑ MobilehomeQ----other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK — New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation LJ' Other ❑ Describe work: �2 ��� iC-r�Nl F� �l ���� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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, BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRI.OU LET 2.50 ea NON-RESID BRA CH CIRC TS ' NEW CONSTR I POWER APPARATUS e) NON-RESID. %SINGLE OUTLET CIR. EX. Occup OUTLETS 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 deciare 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. IgI I shall not employ any person in any manner so as to become subject 1� 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 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 conkZq_ence of the granting of this permit. C.This _,ia -DateC I Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hheig Mobile Home Installation Fee $ ;-_dc/ TOTAL PERMIT FEE $ 70. a -c) OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY - P IT EXPIRES Date------- the applicable provi- resolutions to do fees have been paid. WORKS Date /�� 1 Receipt No. U WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT a � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CAlifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AS ESS!R PARO'EL NU B�� j�o-07/ ,moi:- zo 1 !�-,"�j4 /� i BU DING PERMITUP °c- CEV TO t--'nfC/1��jJ`H��' C5= /� CW4 SO. FT. OCC. BUILDING VA ATION O OVV../ 17 �J 7— vN —,cD/R ESS CONTRACTOR'S NAME_(/O� Q TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Permit fee $ ILD% G ADDRESS BU ' 2�J.�Z PLUMBING PERMIT Filing Fee 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 10,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 0� D0 Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ 6LO Qv Contractor ELECTRICAL PERMIT Filing Fee 1,0..00 Main service 100 AMP OR001 OR LESS{t // OV Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADDNS. ACC. BLOGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. 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) 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 CONSTRULTI -OU LET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. / POWER APPARATUS S %SINGLE OUTLET CIR. / sD 0 25m Ex. Occup OUTLETS OR FIXTURES BALP1 Ex. Occup.�OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,(JQ Misc. Wiring 7.50 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. p�f 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 against said County in consequence of the granting of this permit.. a p X�P �hllLA!I Date °%'�;7 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARC oil/ PD ND Ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS O DateD _ �Z P !'�75- Receipt No.Z- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ■ t■■'��' N' m�i:■°°■Ca 0 :C:� i3CC:� C;C ;CTiCiCi'iiC�' ■�iiiCQ;:CIi�: pi■iw■iH ■ Ci■n■iNCi ECCCCCCCC Ca.CC:: main ■' a •■ •;••;; ; "" :::CCT • ■ CC:.:C: .■■■■■n p NOR ME on i E �; C ..� ■�.�.:■.0 w. :E;; 1 �i ■C mnME ..iii. ■. .. .C.■ .. ■ .' ■E� Samoa. �ran 0: n ON ■■ MEN■ ■� :a .; ii'�i �:CiC��G'■. '.°' C: w' ■ME :C i ini■'i aaI Cn M �C® N ■ nON ■■m m mmTi=Em'ii.nmm• a an mass s ■i ■ ■ E ■ ■ ■ :■■■■ ■■■ ■ ■ Saii�■ii■Hm ■�::• e .. mN NONE 0 Muslim mSa Sa■ ■® an gym` nim ME a . . ®.�... e ' am 1 0 �C� —_.�. 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' �■°�'��■: °aC::i■iilm 'E a ;;;';; ■': © ':Ei■ C i° °no] i a■°i■�'i'ii■■■■■■■ ■n �,■,■�■�■ ■ ■E■a■:■■:CM ■■:■ �e ■ ■■�� ■imm■mm ■ ■ Cmm ■C■ ■■Ei■■ i■: Ism ■mi ima■■C TN�ii�nC C:.vC'CC ��:::I ::CCCCEa' • :TCC:n vii .TC' .o:CeT i ME C'i:C'EC■ :EC■°i'i'■CEa ■ 'NCaCC■ EON UNUM EaC::'aa::Ciiim" ©' ° ° D Ti■' ■ °siii:am :°CT■C ° ■i E m■■ C'CC::Cmm ;Em ■ ° Vii® Vii` aw":C IN C■a■C C i■111 OMEN ■ ■m■■ ■■■C111111111111801 ■CCi■inCiin n s■ ■ ��.. ■■■n�.�■ma■■ �■■ EC i■ii■E� N■ m mNp� ■i:-. iC■ ■ C i :: 'EE:�E 0 E:ON NMM EEEEEE111.11.E EE EE :'' =EC '' ". EE S pEEEEE I ISIEEEC IM llE Return to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT NOT CO.MPARED WITH FOR RESIDENTIAL DEVELOPMENT 82-23413 Q GIN -AL DOCUMENT , Section 2T -8.i of the Butte County Code'requires this acknowledgement OFFICIAL RECORnS 'be recorded prior to issuance of a building permit. BUTTE COUNTY-(;,%i,F RRC UROS Rr;tDU%:sr=D Sy The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of Jul 30.10 50 this property may be subject to inconveniences or discomfort. arisi EA from the use of agricultural chemicals, including, but.not limited pesticides, and fertilizers; and from the pursuit of agricultural operation S& L99 .but not limited to cultivation, plowing, spraying, pruning, and harvesting which 044a- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All that real. property situated in Section 21, Township 19 North, Range 4 -East, M.D.M., Butte' County, California and. being a portion of Lot 3 Block 17 as shown on "Map of Villa Verona, Butte County, California" as filed in the office of the Butte.County Recorder and more particularly described as follows: BEGINNING at the Northeast corner of said Lot 3, said Lot being in the center line of V-6 road as shown on said map; thence Southerly along the East line of said Lot 3, 361.50 feet; thence leaving said East line, Westerly and parallel with the North line of said Lot 3, 120.5 feet; thence Northerly and parallel with the East line of said Lot 3, 361.50 feet to the North line of said Lot 3 being the centerline of said V-6 Road; thence Easterly along said North line 120.5 feet to the Point of Beginning. Containing 1.00 acres more or less. Date: July 29, 1982 T)Al1'DT7PW (1LTTJFT?Q • State of California ). On this the 29 day of July _, 1932 SS. before me, the undersigned Notary Public, personally County of Butte ) appeared **-***GLEN JARVIS********* and***JOY JARVIS ***** ** ��-known to me to be the person(s) whose name(s) are oFFiCALSEAL subscribed to the within instrument and acknowledged MARY E. FREEMAN that they executed the same for the purposes NOTARY PUBLIC - CALIFORNIA therein contained. Butte County IN WITNESS WHEREOF, I hereunto set my hand and official QMy Commission Expires Dec. 3, 1983 seal. otary Public Present A.P. NO. 36 'C71 �..hat real property situated in section 21, Township 19 North, Range E _ ast; Df.D.Mi, Butte County, Via. and being a portion of Lot 3 Block 1 ,. �as shown on "Map of Villa Verona, Butte County, California" as filed in 'd more Darticularly described the office of the Butte County Recorder an _ as follows: + BEGINNING at the Northeast corner of said Lot 3 said Lot being in the centerline of V-6 Road as shown on sai�t,map; henceence Southerly said alone, ng the East-line of said Lot 3, 361.50 feet; and parallel with the North Zine of said Lot 3,I20..5 feet; thence Northerly and parallel with the East line of said Lot 3, 361.50 feet to the North line of said Lot 3 being the centerline of said V-6 Road; thence Easterly along said North line 120.5 feet to the Point of Beginning. Containing 1.00 acres more or less. ,• '... I ��x�i�S?�X0¢XXX�X���?fa�C��?�'C�f#X)rX •: ' �(?�.'K.2C•YX$XXX9i`X3�?Q5�(CXeX�1�XK�.�ti�4lQ�(�.�9.�C�J(�4l�l.X�( �,��„�,.... �..:.....:.,..�..,.���CA(�X.1��4%�(k`��X�¢jCX�4�2�C�6X��FX,'�(X�4•�f.2� Taxagteaph haz. been det e ted DATE: G SIGNED (RALPH.CLIFTON GLIDEWELL) c YLVIA R. GLIDEWELL) SIGNED-' �S . y State of Cal if ornia,- County of Butte On JULY 6 ,1982, before me, the undersigned, a tJotary Public, in and for the said State, person- ally appeared ,RA PH CLIFTON GLIDEWELL AND SYLVIA R. GLIDEWELL) known to me to be t he per son S_ who se name S ARE subscribed to the within instrument, and acknowledged to me that THEY executed the same. (Mary E. eeman) • / o .ate OFFICIAL SEAL MAMY It. F-Ht_EMAN r1n •c+ NOTARY PUBLIC - CALIFORNIA } Butte County My Commtssfon Exp)res Dec. 3. 1989 rn My term expires Dec. 6, 1983 ;SEND OF DOCUMENT BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. . PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's /V name: 2. Installer's name:(ga %�/ p ; 3. Is the site currently under permit? Yes 22C No (if yes, furnish permit numbea-11i OR ...Is the site an existing site? Yes / / No / LI (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes 7 77. No (If. no, clarify i ( ) 5. What is the mobilehome electrical rating? ----------------------- 7� Ames 6. What is the mobilehome site service rating? --------------------- � ad Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to,be served by the mobilehome siteservice? -------------------------------------------- -------- Yes No –7 770 (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural –7-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Iftother than single wide, Mobilehome Mf r.yfurnish Setup Model No.- Width—,/ o..:Width/ r7 (ft.) Box Length—(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with -the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Tagalong or Expando,' show support details. L� (ft.)(in.) (in.) (in.) Single �. Wood either Apressure (in.) (in.) treated or as x foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) • Center support Center support Supporta (check one) locations* footing sizes Max. Overhang (in.) 01"I. Concrete block. E] .2: Other.. (specify) (ft.)(in.) (in.) (in.) Tagalong or Expando,' show support details. L� (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. X. -- Typical Support (in.) (in.) Footing Size ►- ' (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)l(in.) (in.) (in.) 307 82 BUTT COUNTY BUILDING DEPARTMEN APPROVP-D . *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. N z 36-071-25 '' 92-664P. GLIDEWELL, Sylvia . 2352 V -6 -Rd, Oroville cont Cesar Mercado (gas line/mh) 3 316 1 . 6 COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION, AND PERMIT s� PERMIT N0. - V ASSESSOR PARCEL NUMBER ZONING .1 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 1972 ORMLLF CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7152 —h ROAD OPOVTTJIF Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S 10 1 W 1 15.00 15.00 TYPE OF WORK��pp'�� New ❑ Addition E]Remodel ❑ LI Utilities Installation❑ Other ❑ Describe work: INSTALL GAS LINE is MOBILE Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1oo0A, 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) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTRESID. BRANCH NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS a I SINGLE OUTLET CIR. Ex, OCcup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS❑ Ex. OCCUp. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 Countyinconsequence of the granting of this permit. x;'lmi e`.,.U -r1 Date Signature of Applicant — Owner ( Contractor ElAgent❑ 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 30-00I TOTAL FEE $ HAz DFEES IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the rovi- sions of the Butte County Code and/or resolutions to do work indicated above' for which fees have been paid. �DIR(CTOR OF PUBLIC WORKS By '� �' Date 3 PERMIT EXPIRES Date 3 /U Receipt No. 110425 WHITE-D.P.W.. YELLOW -ASSESSOR. PIN. -INSPECTOR, GOLDENROD -APPLICANT :-71 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NN 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541—G,/ Y APPLICATION AND PERMIT����1�1�/ ASSESSOR PARCEL NUMBER 36 - ZONING I. � BUILDING PERMIT / OWNER TEL= -PHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 1972 OROVIT.I.E. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 1420 ?1-,t STURT OROVTT.TeF. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9399 V-6 ROAD nRC)yTT.T.F. Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S W @ 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation[] Other ❑ Describe work: INSTALL GAS LINE TO MOBILE Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 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 BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ACDNS. (ACC. BLDGS. // 3.64 sq.ft. NEW CONSTRESID, RANCH TLETCIRCUITS) NON•R ESID BRANCH CIRC ITS @ 5'00 (POWER APPARATUS &) SINGLE OUTLET CIR. I // EX. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. our ETS P(RESID.)REAJ 3.00 Temporary service 15.00 Mobile me Facilities Home 15.00 Misc. H g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agast said County in consequence of the granting of this permit. ` 9� Date Si ature of Applicant — Owner Contractor ❑ Agent F1sions 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 I CONST TYPE I TOTAL FEE $ 30.00 HAz rS I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indic abo for which fees R OF PUBLIC By PERMIT EXPIRES Date LO applicable rovi- resolutions to do have been paid. WORKS Date A31 Receipt No. 110425 WHITE-D.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ::�l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541 APPLICATION -A.0 PERMIT Assessoa PARCEL NU n7_ — O Z J ZONIN '- BUILDING PERMIT i OWNERTELEPHONE S -1 -UI c" 1 53 3-7356 SO. FT. OCC, BUILDING VALUATION 7 OWNER'S MAILIING ADDRESS Vg jj t 1( CONTRACTOR'SNAME - co"CA TELEPHONE CONTRACTOR'S MAILING ADDRESS Q . ( + 01"O J l << E Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee S 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty . $ BUILDING ADDRESSPermit 13,5-Z V-6 - Q2 cA fee $ PLUMBING PERMIT Filing Fee 15.00 © C.- ' 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 SFft Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 1 15.00 TYPE OF WORK New❑ Addition [I Remodel❑ UUtiilitiesyy Installationo] ❑ Other[] Describe work: .�i,�5-fG ! �RC S L,./f'1 Q,dl JVtC%(OJ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 60OV OR LESS 200A OR LESS 18.50 Main service 20CATO 1000A) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y i y (check one): ❑ 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.S\ OR ADDNS. ACC. BLDGS. // 3.54sq.ft. NEW CONST R. MULTI -OUTLET NON.RESID BRANCH CIRCUITS] @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLN5. OR EX. OCCUp. OUTLETS IRESID., EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 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 against said County in consequence of the granting of this permit. X Date Si natuA g pp — owner ❑ Contractor ❑ Agent ❑ Applicant re of 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 0FEES I IMP FLOOD COF PARCEL PO HD ISSUc This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ��D�2� NNITC•a. P. W.. YELLOW-Aee C3s011• PINK -INSPECTOR. GOLDENROD -APPLICANT I `\ 0 in VIOLATION.CHECK LIST r ons= A.P. # 36 —0%( --p�5 Address 2�(0 —(� - �/zo &C,. Owner's Address. .mac. &L, /2172 , Owner's Phone No. 531-735D Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section .Priority No. Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments.and/or Determination , 277A141 Alt :y'-✓ l -o, /21aw O'lei C'C�W�P( iu�FJ, Disposition For Citation Citation (Date) (Date) " Department Recommendation to Court Court Action Notice of Violation Recorded Date) RECEIVED APR 9 R 1997 Michael Vieira, Chief Building Inspector BUTTE COUNTY 7 County Center Dr. BUILDING DIVISION Oroville, CA 95965 Dear Mr. Vieira, The property located at 2362 V-6 Rd. was brought to your attention a while back. The travel trailer that is in front of the mobile is still there and somebody is still living in it. As you know, the trailer is being used as a residence without a permit. Since nothing is being done, does that mean that it is now okay to let someone pull a trailer onto my property and let them use it as a residence without going through all the fees, permits, and approvals that all homeowners go through when building a house or developing land? If that is the case, by golly, the general public should know this through the Openline in the Oroville Mercury. Isn't this the same as the extended family law where in an R1 zone you can build another unit for your mother or grandmother? But from what I understand, you have to go. through all the rigamarole. From what I understand this guy was living in this travel trailer for some years. He is also not a family member of the owner. If the law does not allow the owner to put another trailer on the property without a permit, Mr. Vieira, don't you think as the Administrator of Building Inspection and Code Enforcement that this matter should be resolved'? An Oroville Citizen DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 11, 1997 Sylvia r. Glidewell P.O. Box 1972 Oroville, CA 95965 RE: Code Violation A.P. #036-07-1-025 2362 V-6 Road,.Oroville Dear Ms. Glidewell: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain -the required permits, inspections and approvals from this office for installation of a travel trailer. -Occupying travel trailer without the required approvals. Since travel trailers are not permitted in the AR zone, the travel trailer must be removed from the property or the occupancy and use must cease and desist immediately and the travel trailer be placed in dead storage. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including.a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by 'you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. MCV: dms cc: Assessor �� aC 6//71q, 7 Sincerely, Mic ael C. Vieira, C.B.O. Manager, Building Inspection ' eta d i am VIOLATION CHECK LIST A.P. # nt6-m-i-ng5 Address 2362 n_ti RQAD QRQWT;aa Owner gyT.yTA R _ rT.TnFwFT.T. Owner's Address P n Rnx 1Q79 Owner's Phone No. 9*11-7'�5n Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. TRAVEL OCCUPIED WITHOUT PERMITS 1st. Notice Sent 34111497 ate Comments and/or Determination Disposition 2nd. Notice Sent Date For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) ' Pm c7 03 'W Building Inspection 7 County Center Dr. Oroville, CA 95965 Attn: Michael Vieira !y pply! j j{ j4 j} jj ji ss3 Ifiliiil3liiilii?11lfllilliil��!t!li.!'.Eflf��i4�11ii'.li.?'i'?.i'3??i Building Inspection 7 County Center Drive Oroville, CA 95965 Dear Mr. Vieira, RECEIVED MAR 0 5 1997 BUTTE COUNTY BUILDING DIVISION (Orovi 1,16 ) This concerns the property at 2362 V-6 Rd. This situation has come to your attention before. There is a travel trailer that is parked at the above address. The owner of this trailer uses it as his residence. The -travel trailer does not have proper utility hookups and the owner does not have an occupancy permit. . Please investigate this matter. Thank you for your time. COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• I I i BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: . ......... . X.X...X . ....... ................................. OfIWo.r.. ....v...a.......a........e..4....a... .................................. . X....: .................................................... .......... .................. ..... ............. x........n ....... ....... X` Inspector must draw',a plot plan with all building locations: Additional comments from Inspector: 2 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA 95965 PHONE: 916-538-7541 DATE 1-9-92 SYLVIA GLIDEWELL MH U & MH I APPLICATIONS P.O. BOX 1972 A. P. # OROVILLE CA 95965 036-071-025 With reference to the above subject: L l Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Ll We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans -in , including plot plans. Plot plans in Structural details is Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico FOR MH U PERMIT: __ 7 County Center Dr., Oroville CLEARANCE FOR EXISTING Skyway & Elliott Rd., Paradise AND NEW MOBILE Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Recorded copy of agricultural acknowledgement statement. L� OTHER 1 FOR MH T PFRMTT• MORTTR HOME, INSTALLATION DATA SHEET COMPLETED AND MARRIAGE TTNF BLOCKING DIAGRAM (2 COPTRS) SCHOOT FRE RECEIPT MORTT F. HOME TTTTT TTY PFRMTT CLEARANCE - Should EARANCE Should you have any questions concerning the above, please contact B. WILDING of this office.' Yours very truly, JFG / a j William Chaff Director of Public Works .F.Glander Chief Building Inspector APS 014NER PERMIT Mli UT IL . CLEARANCE D TZ - INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size- Other Load Type ,-Pipe Size Length YESI NO YES1 NO A a CaBV oDgung DEC 2 4 1991 ,,. `x"'Y� 7�y..ra+�'v�.'y72'l'�.eM'Y�+"`t7�.i`•�.,,�/..ryc'*^:�.ir!''rx'l�F�"bM`♦ i ."'�'Y�VY•. :•tS�f''i''�/"'�!y'r"'ftCl'i#?`P^<t7rF,*-er ;P^.�•N)-i+d.Gr'4:*r:wu'�"r'XiN'yti""'h•'t+iif"r.. ""'"'y. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM a� (One Farm per.Building) M { U7/ --vim` A.P. Number"" Building Department No. School DistrictfitO ��- City n County Jurisdiction r 117 Property Owner Project Location/Address Z,,47 v12_v✓k_ Subdivision Lot Number Residential Development: E]Sq. Footage�_(� fiof Living MHI, Addition (Group R) y Units ; yy Commercial/IndustriaW �� Sq. Footage ► �` l: -New Addition (Including Exterior Roofed Areas) Bui ding Dep rtment Representative D to ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No.:a fid.1- School District certifies that (Applicant/ Name) / (Phone Number) (Street.Address)� ( City) ( Sa e;,),,,, ( Zip Code.)_ has, colied+with;�_the ;requiremenus "6f-'Reso'lution Resolution No. �j �D- 0 mp by the payment of $ N representing //rte square feet. Sc ool District presentative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ///LLGr RESIDENTIAL „•, 36-071-25 92-823B GLIDEWELL, Sylvia 2352 V6 Rd,Oroville cont: Mickey Current deck, ramp, awning/mh 3b A5 0 d JOB FINALE Signature J=OK D = Not OK N t Readyot MOBILE 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 r Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval , 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy r Date Card B-1 Date Card 6-1 Date Card 13-1 Date Card 6-1 MISCELLANEOU§ Date DECKS, COVERS, CARPORTS, GARAGES,(Plans)OK except #'s Zoni g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card 'B-1411VDate Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable . Not Ready RESIDENTIAL (: ' = Date UN tRFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins: 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------- ---------------- --- -- -19. Shower Pan; Test. First Floor -Tub Access ------------- ----- - -- -------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors ----------------------------- -------- ------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------ ---- - 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------------------- - -- 25. Romex Installed Close to Edge of Studs & C.J. ---- --------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --- ------------------ - ---- ----------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------ ----------------------------------- ----------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI --------------------------- 29. -----------------------29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------ ----------- ------------------- 30. ------------ --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----------- ------------------------------------------- -------------------------- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 DateCard B-1 ------------------- ---------------------------------- ----------------- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A. -C.- Ducts Insulation & Support ------------- ------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ---------- ----------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----- ----- - ------------------------- - --- - - -- - -- -- -- -- -- - --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------ , ----------------------------------------------- --------------- 38. ---------- ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --- ----------- -------------------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - --- - - -- ------------------------------------------------- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------- ------------------------------------------ -- -- - - - --- - - - - 41.-- Bearing -Walls over - Girders- -& -Floor Nailing --- --- - -- - --------------------------------------------------- --- ---- 42. Draft Stop in Walls (rat proof) - --------------------------------------- ----------- ---- ----------------- -------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing > ngle & Duplex) 61 Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings __52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------ 54.- plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- ---- 55. Siding -Nailing Veneer -------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access' 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings -------------- 60. Infiltration -Walls -Windows ------------------------- _Date __________Card B-1 _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------ 62. Smoke Detector ------------------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage_ Above Floor-Ducts-Mech. Protection 64. Bedroom Exiling 65. G.F. I_ & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails --------- - 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance --------------------------- ------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garge Fire Door_Swing-Landing-Closer 73.-.A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- ---------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ----------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ----------- ------ Planters --❑---Yes-----❑ --No---- --- 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing 83. Vents Above Root; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - - ------------------------- 85. ------------------------85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ------------------------------ - - --- 86. Ventilation Throughout House --------------------------------- 87. Glass Protection ------------------------------------------------- 88. --------.------------------------------------88. Corrections from Previous Inspections ------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric •-------------------------------- ------------ -------- ----- -- 90. -.Water - & -Sewer Connected -C/O to Grade -HD Approval -------------------- ------ 91. Energy Compliance Certificate -Other Certificates •------------------------ -- -------------- --- --- 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 PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 , 747 Elliott Road, Paradise — Phone: 872-6307 s CORRECTION NOTICE C-/-/Ww OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. t wo Date Inspector 16 ni t wo Date Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date /e Ins COUNTY OF BUTTE N DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ' ' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r u._ i F v. �i R Y- b� Date y 9Z Inspector _ C REV 11/81 C6UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBYR_ 036-071-025 ZONING AR BUILDING PERMIT OWNER SYL A IDEGJELL TELEPHONE 533-7350 SO. FT. OCC. BUILDING VA N 315 C 4,095 OWNER'S MAILING ADDRESS DDD P.CONTRACTOR'•N BOX 1972 OROVILLE ME MICKEY CURRENT LIC #519211 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation I $ 4 095 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 60.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 30.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2352 V-6 RD OROVILLE Permit fee ; 105.00 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 SF ❑ Duplex❑ Mobilehome[K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ AdditionEl Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: DECK, RAMP & A14NING _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 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) I, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. BLDGS. 3.6dsq.ft. NEWCONSTR ULT' -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 5AL, CO 5 FIXED Ex. OCCUp. P OUTLETS 'RESID,IREA.F I 3.00 Temporary service 15.00 Home Facilities Mobileot- 15.00 Misc. H 9 15.00 i I 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. Xr 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 1 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 agai s id Count in consequence of th granting of this permit. r • Date 9 sign tore of Applicant — Owner Contractor ❑ Agent ❑ An OSHA q permit is require r �cD�t ti ov r 5' " e nd demolition or construct- ion of structures over 3 store n�ht Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL F $ 05. I+AZ DFEES IMP FLOO C PARCEL P HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees C PUBLIC By PERMITEXPI E Date applicable prove - resolutions to do have been paid. WORKS Dat '27 �� Receipt No. 110243-00 WHITE-D.P.W., TELLOW-A581990R. PINK -I ECTOR. GOLDENROD -APPLICANT 3 „�,.,.., __ _ ,��.-_.-�3�--.+^rR�a,.:,�s- ti �T' :�"Iq .�+''F'.R`!��. ='-r --�• •,-w�-r .+eFy.`• +";-"i”: ; _ � f COUNTY OF BUTTE - DEPARTIdENT"'01F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILPCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET, Permit No. OWNER �� A P. o. G -O Proposed Building Use C WVII h SBuilding Inspector Date L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2 'Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation nstructions ... —0.0 ............... ees of $........................ Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 1 School Distric tees paid ............. . '&Sanitation approval from �d ✓ f �/ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Lanq Development Section DPW 19. Driveway' permit' (construction'approval re ruired prior to occupancy) 20. Pre -Inspection forrequired Pre-Inspec. request to w Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given,to owner ❑, Mail to owner ❑) 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephoned .- -and hold for pickup at �►^-O office. Deliver w/inspector. Other Applicantiri�p�l�.P.t�,V Copy of Hdz-Mat form sent Health Dept. FireVVDept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept.. Other Date By The following data must be submitted p for o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, wn�e , was advised of above required data by phone�nail_counte by date Contractor, designer, b�nlner, was advised of above required data by—phone —ma II_cou er by date Plans checked by Date Pla approved by Date3 _ _Sets of plans on hold in File cabinet AP folder Copy—DPW A TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner c Location AP# Plan Approved for: SewacgeDisposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other XAW,01A-1G- NOTE** -3f-44- Date San tarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlve - Orovlfle, CaMornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT A3 3e R PARCEL NUMBER rD ZONIN BUILDING PERMIT o ER `�� I II TEL IHNE SO. FT. OCC. BUILDING VALUATION OW -R'S MAIL G ADORES (,y0t r0v, CO TRACTOR' N E JJ tee. - �ur/' n Laic SSI I TELEPHONE CONTRACTOR'S MAILING AqORESS Fireplace CO LENDER ,Vri UNKNOWN Total Valuation $ Filin Fee g $ 15.01) LENDER'S MAILING ADDRESS Permit Fee $ 40.00 AR TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL3NG ADDRESS Q Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome;K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Additionvj6emodel ❑ �ilities ❑ In calla on❑ Other 11 Describe work: �� Q VR to 1/l Et= I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 20CATO 10o0A) 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.✓) OR AOONS. ( ACC. SLOGS. // 3.64 sq.ft. NEW CONSTR. r ULTI-OUTLET NON.PESIO. BRANCH CIRC ITS 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FI%TURESRA20 6d 464 FIXED APLNS. Ex. Occup. OU LETS PIRESID IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 $ignoture of Applicant — Owner El Contractor E] Agent ❑ An OSHA ion of structures toverr 3gsroriesoineheighr ions over 5'll" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ` HAz 1 DFEES I IMP I FLOOD COF I PARCEL PD Ho IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date I Receipt No. [���,a WHITE-D.P.W.. YELLOW-ASSE730R. PINK -INSPECTOR, GOLDENROD -APPLICANT This set of plans and specifications MUST bi kept on the job at all times and it Is 4inlawful to make any changes or alterations on same witl♦- ,out written permission from.the Departmento4 Public Works,, County of Butte. 0 NOM --AA Materials & Workmanship Shall Be 1a \,V Accordance with Recognized Good Practices and WF a quality prescribed for the Specified use in the Wooim Building, Plumbing & Mechanical Codes and As Naf ional Electrical Code. K— tot (o"--0 A setback of 5 ft. from the property lines and a setback`b! 50 ft. from the road centerline shall be clear of structures or equipment exc W for a2 It. eave. overttan9. AND C'LEAQ_ a� ,off Et1SE tr U 6 � 30 /01 w N/Au6 7-o sic TPpJA g'RE7 COUNTY BUILDING DEPARTMENt SR. --046F eoucai- 1�E�e4�2a�,v y,��} APPROVED Butte County Environmental Health Date ei dpiff-iol Sian .114 AREA OFFICE o007 Folsom BW Sacramento, 5819 9 5-0135 INSTRUCTIONS SOUTHERN AREA OFFICE 28 Civic Center Plaza, Rm. 639 Santa Ana, CA 92701 (714)558-4161 STATE OI: CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS APPLICATION FOR PERMIT TO CONSTRUCT A. ACCESSORY STRUCTURES COMPLETE ITEMS 1, 2, 4, 6 3 Description of Work B. MOBILEHOME INSTALLATION COMPLETE ITEMS 1, 2, 5, 6 C. PARK UTILITIES ALTERATION AND ADDITIONS COMPLETE ITEMS 1,2, 3, 6, SUPPLEMENT D. NEW PARKS AND PERMANENT BUILDINGS COMPLETE ITEMS 1, 2, 3, 6, SUPPLEMENT E. RETURN ALL COPIES WITH REQUIRED FEES. fit 1T Park Name l-f✓�� yt// %L2L� %[�%/J /�' L C - f7�1✓%� i/C Park Address ZyZi MHI ��Lt f<< �/ Uninc. Inc. City/County ZIP05 Park Owne /JN //�uqz/ td/✓1r �O Te. Address { �- /'ice 6 ZIP 50 0 0c) � Applicant - 14 State tic. No. t"(,e Tel. No. -S /I r Address / r `�v ►� / ( -7 Tel. No. O �✓ tos' Lender's Name Branch Address 2' , CONTRACTOR/OWNER BUILDER I certify that the following Contractor's License No. and Classifica- tion is in full force and effect. I certify that I am exempt from Section 7031.5 of the Business and Professions Code, Division 3, Chapter 9, Cont ors' license law, under the following section: Owner: Section 7044 Minor work under $100: Section 7048 ❑ Employee working for Weges only: Section 7053 ❑ Other: WORKERS' COMPENSATION REQUIREMENTS State Compensation ❑ Certificate On File with HCD Insurance Policy No. Expiration Date EXEMPTION ❑ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. NOTE: If, after making such certificate, the applicant for the permit should become subject to the Workers' Compensation provisions of this code, he shall forthwith comply with the provisions of Section 3700 or his permit shall be deemed revoked. I hereby acknowledge that the information I have provided is correct and agree that all construction shall be in accordance with applicable provisions of the Health and Safety Code, Labor Code, Contractors' License Law, and related Rules and Regulations of the State of California, andI ockn g .t is my responsibility to request oil necessary inspections incident to the ' once of th s permit and allow entry of authorize perso el to providinsp S. s e Suchion Date 4APPLICAN DISTRIBU ION: OR G. TO APPLICANT; 2, AREA ; 4, ASSESSOR HCD 50 (Rev. 1I'—I r� Valuation -VIA 4 MOBIL EIACCWSORW STRWURES ❑ New EI Reinstall Standard Plan Approval No. Awning ❑ Carport El Porch ❑ Cabana ❑ Other Owner/Tenant �rYV�CsrI-. / / Lot No. _ 5 6 MOBILEHOME INSTALLATION Owner/Tenant SERIAL NO. DESCRIPTION INSIGNIA OR HUD LABEL NO Approved: r DATE OF MFGR. /Manager (SIGNA DIVISION PROCESS RECORD APPLICATION LOCAL APPROVALS PLANNING FIRE HEALTH PUBLIC WO K DATE ISSUED BY EXPIRES ID No. f V— L n MP %ACC/S ❑ MHI CLOSED BY DATE CLOSED dIV1fiON USE ONLY COL. NO. FEE RECD ROUTE TO ROUTED BY Lot No. I BATE y�3/ /9C e,k-;�-/75-4- �` Vfi - 00 UPON DEPARTMENT APPROVAL TO RELEASE, AND PAYMENT OF FEES, THIS PERMIT IS ISSUED ONLY FOR ITEMS VALIDATED BELOW PERMIT NO. /�?-S I IW- �2 / MH ACC/S MP BLDG MHI MISC. PLC'K S.M.I. ISSUE 6, o v TOTAL 50 0 0c) 8e 92729 decking X. 4 Pressure treated Doug Fir or foundation vedwood Ilse IICD porch 4 X 4 It"llbe-t- grade, Concrete _pier size, and specifications for other. materl.a.1 MAX RECOMMENDED SLOPE-, .1.:,ro Framing Plan No, I PORCH WIDTH ' OIRRR SIZE0/ OF O LUMBER PIMSITIpMO C/'Kyll/�y) Hoop" T.W.d rw PFIER 2t O.F. $TO UIMttR vel t.In wf-.l. • fl II.Ww1 all doer W.0 FD Ki ? ti 0• Plar 10• Pier 12• Pier I0' 1.1 DF. !TO Y•7' e'-0. Ir t■/ nF OW6T t - It• 10•-O' I2• 1.6 a1. feet t -r r IU OFj. !TD ='-It* Ir•0' 10• t■1 O.R STO :•-t' Ir 4 O.F 01.2 W. Y r.tf.{ {•w.f.r t•.{M ave. lwwd . OF O LUMBER MCR SRICDD C/'Kyll/�y) Hoop" T.W.d rw J O.F. $TO Or WMDCR vel t.In wf-.l. • fl II.Ww1 all doer W.0 FD Ki ? ti 0• Plar 10• Pier 12• Pier Concrete Piers • I , 1 `' TDs M'dado Ct "t.e"•d �...Olrlar tot 0•dlq Atlr.olha J C oara" in, IOd .Moaw Y of 42.oal data San" br.alq Westland.Dass all. b. .06I. a.plea. .d Wilmot el t•.. L"StFly-d °boll In, 0.6 aadd I'll' TDO C -C f lq".d )nubs Or.ilol L tot Deahn "I b Want. �plod'W I Rd.od r O.1la. F4 C .lel Ooe •d ! 2.t2 .telt IM. eM LI .lab Veto, .ball be I.•wra tr..1d soon aw eppr..d r••..r.WM Framing Plan No.2 "O"M PICEORNCC F Ono SIZE OF O LUMBER MCR SRICDD 6• ►CDI'E�3111 O.F. $TO Or WMDCR 10' U 1 o' 1. t a F. 7TO r- 1• D.F. CONST to' 12* 4 OL F CONST 10•-O' Ir /.e a". M I, ou, 12• 1 ■ 1 a r. COAT 1•. O• Ir•0' 10• t■1 O.R STO :•-t' 12• 1.1 O.F. CONST !•-1• ' HCD 541 1'-O' Y - W TDO Pywoal C -C MR914 topo - w. rola 1.1 'Conc t0deonrao er 6. d.tra.d `2.160 MH tons ­­aeclq Jan at on a.l 8•ee IW Pat plana ed lollq 2.6 OeWq All~].. Framing Plan No. 3 PORCN rIDTN PICEORNCC F DIROER SIZE OF O LUMBER 1'-O' 6• 1.1 O.F. $TO e'-0' 10' U 1 OF. CONST Ise TOO►tfwed "Pl"g.d Freda" Pl.. old. 2 Jron...IW Ino /lass .Wlr Rhdt'i-op Are W r.osord who Palo W6M In Iwo IMI Wind- abm V.I. F. roll awtnell . d.tall. and NCO Brae P1ar M r It r velar blw slap. `' P. fol deenal lin.\ / , /� a /p II I�iio Dr'eF.1 T C.eW. roe ''"adM""WH ' Section 'I d.1M1-to .ad .IPI N .ad au. - /. Order 1. M,�r eT\ 1•N 6f.aa■ t.11ara l^" Wla .oe ants. M 1.3 bwN logo al eras. \• dr.'IW .mal \ 2..• a.. S Orae. d`. is. i 41 h.1 J� 1.• Mt O'dr •� U pFM' •tW a1. tTD °• 1.1N .eaarn Wls wce law d maab •'a two Cpeafe M. p. Frdq r �_' _ I y Poll To ►ooTtlla ooHHtcroR �� IOd - o, old d.fr'nd 12• IN "al• bas '12.6 DrHq Jan -11. .1 6*. . -11. on sh pl.A All. -ll.. Framing Plan No.4 COMCFETE MROM ROTM ER R"E WMBER t -O' 10' 1.1 O.F. STO IO -0' 1 12• 1.1 D.F. CONST Intermediate Post Corner or Bracing Post Sandal O,.Wq W IWIq "1 M ealenad W MI fa. Drop. M W .W. lahrl "aha .1. .1 21'-C/ -- t.6 hp Rall ICI IIle.ed O v 1 Raw" d1 ae.0.lw p..pM1 vt 4 / Mt CONST 0111000114 r oror /. ♦ 10.COlT RW !t.• [ 41 "to na1 Ip ell[ati t•6'saa A. 3rW1ar'dd•6'.. for 12"1 J..I S'].aeeq eI. F("M Peo[a season wll■ bla.w 9'Nn YlNmrn a1Wr ..me • ]O' y (ObNr M b N vena W710 (pM la b M .lila . j 1. Glyd.r °n a abo.a Y Frw.q Plan•Ma t w11a w alien w Fredro ° lGl,da'r ^ r dna b.1% I's rolllMwd.J'd Plow -tree da■w son d tot b O DI . 2. K .' -2.12 trod. 11.2 R.drood d OF 4 eJ EMdalo) relt.d to M ObBr 4. call '��III ]-IG z �1e ��a 2i Machine : 10 OMe. [tCTIOH [tTRt[II /Osis f Wr Iota=1 fr.'n 1.1 bw 60•la." 1.1 brew Tb .Idle W Indo e'Ial lb 2.12 at S'•or... Ma. ea.. In•l neve • 7=6' p• !t• try • oaf la •eWyOt of Arra pall a.. eo.afart 2.1. D•10•pbl. 5-00 011. veal nee _ .r. W My n1. • Dwyw ry 1.11 I .l W plot. !TO • ll.nepd dlawrl.a..1l. •: tW-- fa De S -16d nWl a'•. /• Dell. CONST- Cw.lM1r .pelf .1-1 fr Ib fall ought W .lab. Alternative Liz K3I0N ASSUMPTIONS Stairs 2.12 7K'Lias 1It'sr "MALL[' 611""7 "[II�NOICUIaR {IRON! row Ur IAd • 10 Pat Iac1.l. b N..1 DF C -at. Poe Roiling tell. J..tr M boob w Rau land o 2O pl1 W tq ee roll road Land 15 polo alrt:I" STATE OF CALIFORNIA DIVISION OF CODES AND STANDARDS Mobilehome Porch SWI Meaning Pr.. -..1000 pal ("'Neal) • ISO poft (%%,.1 Wt. Ap.11 t. loft Cegr.l. 7lr.ape. 2000pJ.1 :6 son,. DEPARTMENT OF HOUSING AND SCO UI �Y ' LOP�ENT a ~ti M RJdI P3 Wass �1}1LD1HG �p I K IW,v'" A�pEt OVED Notes: 1. Minimum distance from porch ROADWAY to lot line shall--. except lot 1�nes bordering"" %4 rkl PLAN roadways. 2. The total occupied area of a mobilehome lot shall not exceed 15 percent of the lot area. State of California Department of dousing and Community Development Division of Codes and Standards Park Hame Address City_ Owner— Address City Applicant Zip Zip Address i City Zip Telephone ' Approved J owner/operator/manager I Permit Fee $ 30.00 Permit Issuance Fee 20.00 Total Fees 50.00 Applications submitted with deviations to the HCO Mobilehome Porch plan shall be subject to a minimum plan check fee of $10.00. u� 'a):1 �Qzlo VAI!9 9`1"q. ��.�- oz Zs BurrE COUNTY BUILDING DEPARTNJEM' APPRObED S 3 t i t a .i. ,f ri • . _ r � ��. rte.,, a �ti J � •r� ! •' � - _ _ I � ,;'t •i ar ,+ •• it ! s } . Y�' (J,i � ••ti � . il4' i. a �.�•!. ; L 4 • Lr- • r _ �� _ r _ l7 r . i^ q `.r �• .t r • - .r o co nj plj 0/ +.� y`.�e�a.y �'!r�}'�a,i,{•.i' ^• �.. lr�: �•r+ �r ✓ , ��7/ r --� — ._�.—_�.—�. - - . ok it ��� _ y;l, �. . `y � . �. r ••' �'Zaaii,�. '� ids. a 4r i�F a �_�_,____._—_. ^ � �4, .. '.i ;tri ,' '�•. ,,• ,�, --•--• _____ .. •��% may+ f,�t.. � r T, �� � � Y .w i : � j I -] r' .�4 k'y !-. � `\•'' '; ^ ••• J � /.� _e�.�.t'� 'i•.%: �; 'irt�r rr r •+. t=� 1 • t:r A ' ���8• • . , •r •ice.. op 00 OOPO i6 N � , a /�� •� � , to tr - f . k; 1 . 1 �F}J• � ,i •�1 ,fK,�A,+•a►r ` `.}�, b 'r, f ',••?+��\ ••,r.. .�.. J^ -r' l .�_ '��,,.� Iva t,� !.''a:. �, { •• '' 176 75 c N �• ���--------t:�'?' ! i Ok 2p Ld OD 89 N 1 !•• i 40 ih fa Ao cr INV -IL � tu rn x "* .. fats' Vic.. s:Zy —COD] 00000 j, ti•� a �� .r — �"sty 1 ;00!00000 m44) y6df its ,. e�. f � r rM .. , � - - , .+ %r' * •r• � • -` a La. 'r.. _ 1, • � . ��'j� �•J•'�+r,! �, .�. 3. � - r ''..�,+, hilt=:. {t.tt•Y fy�•, ^j�; „+.. 'hS F}* .. �' •rr �� .�_F .r �. t' . '. ('^, �� � ., - i