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Home My WebLink About078-280-059C779 2 -FO JONES; Carlton L`. CARLT & SUSIE JONES : 2183B 2427-V-6. Oroville a' Permit#3201-8 E(util,MH) I®,Ir�?3 ELEC. 00 GA5 Off V6 just east of VC, Oroville•r SUPPORT STRUCTURE REQ.-j'tii� (repairs - foundation only) COMPACTION TEST REQ. \. •, 46-0:2�; 1 Contr: an Stavern PEr #3342-88MHi I- ued 7007'10�mm Mm.�. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name 711 Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. 9— — Y Y..-, k�..ti�:r1�1r"�'.n,,,,..� .��"'�.i .. �' •*v.,�'�t."7t�Vz_i`'i1.� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-27.51 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ' AOE 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 ry when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. `/ Y X -. Inspector Date! V / 7 N PERMIT NO. AHP, E(MH) PERMIT EXPIRES OWNER CARLTON &"SUSIE JONES CONTR. owner 'ASSESSOR PARCEL 36-022-13 'LOCATION 2427 V-6 Rd, Oroville ti Temp. Power Pole Caller Temp. Ele Cal leo Temp. Ga Caller JOB FIN/I Signa I = OK , 0 = Not OK - = Not Applicable MOBILE HOMES MISCELLANEOUS = Not Ready Date M BILE HOME UTILITIES (Plans) -OK except #'s Date .. DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. ing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Spits; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel S wer;.Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-- 5. ricity; Location-Clearances-Grnd. mp-Concrete Shthg.-Rfg.-Bracing r .- - Gas; tion-Test-Wrap:,/--/"L"ft. r 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / Nat. or/ /"L"ft./ P'LPG 6. Carports; Windows -Doors Utility Clearance 7. Elea 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses . . 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date - / rd -B1 Date 10. Roof; Shthg-Roofing Card -81- Date Card -81 Date 11. Ext.; Steps -Doors -Landings DateBjeEHOME INSTALLATION (Plans) OK except #'s _ ' ng Requirements -Setbacks -Easements. ' Card -Bt Date Card -131 `i Date ` Ings; Size -Spacing -Marriage Line Card -81 Date Card -61 Date MH Test -Demand -Valve -Connector. ` ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s ; MH Test -Fall -Flex Connector 1. Setbacks -Easements Water; MH Test -Regulator -Connector• 2. Soils; Compaction -Structure Stability er nd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness-' a Iectricity.Tagged Dead Men -Lining E ' Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 16-tert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Dat and -B1 Date r Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B Dae Card -131 Date 9. Health Department Approval 10. Plumb.; Cir, Test -Water Supply Test Card -81 Date Card -131 Date �{ Card -81 Date Card -81 Date i. f =OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date " 'UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -81 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -131 Date 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 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / 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 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -131 Date Card -131 Date Card -81 Date Card -B1 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -131 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 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 T -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-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -81 Date Card -131 Date 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 -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage 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 Protec. 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 Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9T. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovdlle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT O! ASSES O PARCELR � — o'– ZO BUILDING PERMIT HONES0.FT. OCC. BUILDING VALU ION 'S_AILING.A D SC PMN OR'S NAME TEL H E ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 44-.eo-- 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 ADDRESS19 ermit fee $ - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater .20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] -Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation❑ Other ❑ Describe work: / v -A, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 'I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , New DONS. A , /20sgft UC•TBI OUTLET NON." ESID .BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20050C .ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains aid County in consequence of the granting of this perrfiit. X Date Signature of Applicant — OwnerX Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP, CONST.TYPEJ SCHOOL .._ I F o PARC PD HD Is UE This permit is hereby issued under sions of the But County Code and/or work indicated above for which D! CTO F 7PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt, NO. WHITE-O.P.W., TELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT •"""`: ,,;..;.'->•'^rti.---...�.+titti✓'iiiir`f ��fr:!`..d.S"1`rimyr"Y-j'1'fti�!^^'s.`R�l'r�"Y'i �.ac -'L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION c 7 COUNTY CENTER DRIVE - ORC;JLE;'P$LIFORNIA 95965 - TELEPHONE: 916/538-7541 i PERMIT APPLI'CATIdN DATA SHEET t Permit No. OWNER'' �J A. P. No. Proposed Building Use rl'' Building Inspect o Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ie�1. Al l items have been sub ._�. Ae. . . . . . . . . . . 2- Plot plans in duplica e/triplicat , signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District, "Fees Paid" Stamp on Floor Plan. 7 Statement of In nt foMHeated and AC Buildings. Fees of $ D: 9. Letter of signature author'zation. I 310. Sanitation approval from IK_(!�V1 L�� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name st , classif.) 4. Owner -Builder Verification (Given to owner , Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Instadlation Data. . . . . . . . . . Pre•Inspec. request to 17. Pre -Inspection for-------. "� .__ _ .._.__ _ Required. Building Inspector (Date) 01;X18. Recorded copy of Agricultural Acknowledgment Statement. 2% V 19. Driveway Permit. — 20. Plot plan approval from city of 21. _ 22. — — Wh n you issue the permit, I' cess as follows: Mail to owner: --MaiI to contractor. ZTelephone,53q_'D and hold for pickupt_�office, Deliver w/inspector. Other Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. � 2. Additional items required: r rior to permit issuance- (Circle new item not checked above� ii,�• �/_%%%�/.�.�!��L�r:7I,/%//l.�i�✓iii% �� i � Contractor, designer, owner, was advised of above required data by—phone---mail —counter by!� Contractor, designer, owner, was advised c? above required data by—phone _mail_counter'by— Plans checked by Copy—DPW Date Plans approved by Sets of planson hold in File cabinet AP folder , date — date Date TO Buiidinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance s Owner Location'. w AP# Plan Approved for: Sewage Disposal _ y Water Supply �f Hold final for: Water Supply Final clearan QR, for: Wates Supply Clearance for bedroom mobile home. 'Other anitarfan COUNTY OF BUTTE - Department of Public Works 7 County.Center Drive,, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and.bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary'delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 0-V a signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work Name Address. --City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NamC _ Address , , Z Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. + Rt�urn Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT, Zectiiion t.6-8.1 of. the BuLte County Code 'y requires Lhis acknowledgement be recorded prior to .issuance oil a building permit. ' BB -033302 ; R e c Fee 7.00 The property described herein is adjacent Cash 7.00 to land or included within an area zoned Recorded ; for agricultural purposes, and residents Official Records ; of Lhis property may be subject to incon- County of Butte PAR N veni.enr.cs or discomfort arising from the Candace J. -Grubbs ; use of ,:agricultural chemicals, .including, Recorder ; but not :limited to herbicides, pesticides, 12:10pm 29 -Sep -88 ; and ferL:i.li zers; and fr. om the pursuit BG 2 of agricultural operations including, but not. limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLab.l.ishcrd n;;rirul Lura] zones which have as a priority use for productive agricu.l.Lural purposes, ,incl within sa i.d zones and on adjacent property or disconform from should be prepared to accept suc:li i nr+�nvc ii i c n+ r normal, necessary farm operations. All that. real property situate in the County of Butte, State of: Cali.for.n.i�a, des r. illed rati follows: r a I Date: ..4i 7 r PROPERTY OWNERS: SLate 0& 61st CJ7 ; 1 On this* the o� da c - Y of ��'l��ri�;C`� 19 d'd before. mc,)•SS. the undersigned Notary Public, personally appeared County of urf.,!i ) C � � • 50 El l/UileS ® Personally known to me.Proved Lo me on the basis of satisfactory ev:idcncc. to be the person(s) whose name(s) /5 _ subscribed to the within instrument and acknowledged Lh;:at executed the same for the purposes therein contained. I N WI'I'N1;�5 WHEREOF, I hereunto set my hand and offic:i.aa. seal.. �nMaa�l�matec�a��ara;a:�rar�m�a�ezts�cs�cs JANE ANIDOE Present A, P. No. —�a^/� l'.•:•,1 NOTAP,YPUf;LIGCAUFORNIA Q Commission Expires Jury 11,1989 . v a m �r. NARO 6 LYOC ear¢. CAUrpwNl• � .5q1 87]•2662 therefrom the Njrtherly 100.00 feet of said Lot 7. .I 2 That the val.lse of all real and personal property owned 3' by said decedent at date'of death, including the full value of 4 the property above described, did not tr.en exceed the sum of r A 5 S 11,.000.00.. _ ...__ ... 6 Datea: September, •18, 1973. , .. 9 ' IG Subscribed and sworn to before me I1-: this 18th day of September, 1973. 12 13 Notary Public i�@q.o.e�leamnsaw+lvtr„tee«teai+••raaerlao»� 14 LEOTA h1. CLLIS tt �( 15 � i .y �I � iil. I'I � LO:.'..'r f�WIA;C,milt;, yAwl; JC. 16 .1./..J.l ...9ia 17 .I !3 ' 21 ! P. portion of Lot 7, Block 22, of the Villa Verona i Tract, according Eo the Official Map thereof on 22.E file in the office -of the Recorder o.f the County of Butte, State of California, and more particularly 23'; described as follows, to -wit: 24 Beginning at a point in the North line of said Lot 7, from which point the Northwest corner of said Lot 7 25'� bears West 105.00 feet and running thence along said North line of Lot 7, East 60.0 feet; thence leaving 2.6:i said North line of Lot 7, South 100.0 feet, parallel to the West line of said Lot 7; thence parallel to 27 the North line of Said Lot 7, West 60.0 feet; thence+ parallel to said West line of Lot 7, North 100.0 00 28 feet, more or less, to the point of beginning, in i said North line of Lot T. 29 .: Containing 0.14 acres, more or less. "' 30 Also an easement for road purposes teing the 31 Southerly 20.0 feet of the West half of the Northerly 264.0 feet of said Lot 7, and the Easterly 20.0 feet i 32 of the West half of the Northerly 244.0 feet, excepting NARO 6 LYOC ear¢. CAUrpwNl• � .5q1 87]•2662 therefrom the Njrtherly 100.00 feet of said Lot 7. .I 2 That the val.lse of all real and personal property owned 3' by said decedent at date'of death, including the full value of 4 the property above described, did not tr.en exceed the sum of r A 5 S 11,.000.00.. _ ...__ ... 6 Datea: September, •18, 1973. , .. 9 ' IG Subscribed and sworn to before me I1-: this 18th day of September, 1973. 12 13 Notary Public i�@q.o.e�leamnsaw+lvtr„tee«teai+••raaerlao»� 14 LEOTA h1. CLLIS tt �( 15 � i .y �I � iil. I'I � LO:.'..'r f�WIA;C,milt;, yAwl; JC. 16 .1./..J.l ...9ia 17 .I !3 ' AP # 113 OWNER 2� PERMIT4 sc�l Nei UTIL.CLEARANCE DATE INSPECTOR Cal ELECTRIC' GAS Support Struc. Compaction Test -Req. Service Other Pipe YES NO YES NO Size Load 'T a Size Length 'it e R r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 3 fa `--.1-7- - Z ZON NG BUILDING PER 111K A T OWNER u TELX TELPONE 3 -- SQ. FT. OCC. BUILDIN LUATION _ OWNER'S MAILING ADORES 3 0 V`- -7 %�d Dr l l 95 9 COTRACTOR'SNAME Ze- ,- a.,V TELEPHONE 72-63641 CONTRACTOR'S MAILING ADDRESS (4-4./ &AI 6 w Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ &— Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �r c� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome ther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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.a AC � New ,hdsgft CCONiSTR.� MULTI -OUTLET NON.RESID .BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES DAL0 0t FIXED APLNS Ex. Occup. OUTLETSP(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin 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 ree to save, indemnify and keep harmless the County of Butte against iabil) 'es, judgments, costs, and expenses which may in any way rue gainst sat County in co nc of the granting of this permit. Date l� Signature of Applic — Owner ❑ Contractor ❑ Agent Z 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 $ r Energy Inspection Fee $ TOTAL PERMIT FEE $ &-o OCCUP. CONST.TT-PEJ ISCHpCIFLOOO PARCEL PD ND Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees ax/ By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS l ,{O -V Date A !/ 3 TJ Receipt No. C2GS 6 9 0 WHITE-D.P.W.. YELLOW-Aee E'SOK. PINK -INSPECTOR. GOLDENROD-AP►LI CANT :}�it`' . � "S' j • -`'it �'' 1 it -�" �7J' f'!H''"e�Y " ft•¢,V•Y1�.}j�'�^FwK.-�t�n'[�'v:i�+iG::v,r..,�r-�ir..:awi i'i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ONOVILLE„tCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / ( Permit No. OWNER / fOit/ �u5 % c” 'AQ- A. A. P. No. 3 L- Q.2 �_— 13 Proposed Building Use �� Building Inspector Date 020 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . ... . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. , 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . , , 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . , . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from _ Health Dept. r 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. 17.' Pre -inspection for Required- Prelding In request to (Date) p _.___ _ __ .._.___ Q Building Inspector Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21. — — — 22. — — — --- When, you issue the e1r'mit, process as follows: Mail to,owner, — �— Telephone3`! �3'>� and hold for pickup aQT_t/Q office Other Mai I to contractor. —Deliver w/inspector. Copy of plans sent Health-D.ept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. — 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---nail_counter by date Contractor, designer, owner, was advised c? above required data by—phone—mail—countdate Plans checked by Date Plans approved by er Date Sets of plans on hold in File cabinet AP folder Copy—DPW _ ..BUTTE COUNTY SCHOOLS DEVELOPMENT. FEE CERTIFICATION FORM -(One Form per Building) A.P. Number No- � (3 Building 'Department No.' School District( City �. County EEr Jurisdiction Property Owne Project Location/Address Subdivision Lot Number Residential Development: U .Sq. Footage # of Living MHI Addition (Group R) �.. _ Units r Commercial/Industrial.: Sq. Footage �r New Addtio,ri '(Including Exterior t' Roofed Areas) YA Building De•'rtment Representative Date District .Id 'No . .)S 7 (Applicant Name 4J 7 (,Street Address School District certifies that lone Number) ('.ity){ (State) (Zip"Code) has complied with the.requirements of Resolution No. by jpayment of $ .N �{� representing �� square feet. School Offt.rict. Representative Date. PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS:* white -applicant`, yellow -building department, pink -school district SCHOOL . FEE (5/88) z/1 i Return ,,Lo DOW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT t v FOR RESIDENTIAL DEVELOPMENT Sect.i.on 26-8.1. of the Butte County, Code , recluires'Lhis acknowledgement be recorded prior to issuance of a building permit. �g8—U33302 ; Rec Fee 7.00 The property ;described herein is adjacent Cash 7. 00",11-, Recorded to land or included within an area zoned Official Records ; .for agricultural purposes, and residents County e of of this property may be subject to incon- Butte PARTY SHOWN veniences or discomfort arising from the Candace J. Grubbs use of: agricultural chemicals, including, I Recorder but not limited to herbicides, pesticides, 12:10pm 29 -Sep -88 ; BG 2 and fertilizers, and from the ' • pursuit of agricultural • operations including, ---� _ but not limited to cultivation, plowing,_ - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte' County has estab.l:ished :.iy;r.icll) • Lural zones which have as a priority use for productive- agricultural- purposes, olid residows within said zones and on adjacent property should ' be prepared to accept such i nc•rniveii i c iico or disconf:orm from normal, necessary farm operations. All that real property situate in - the 'County of Butte, 'State of' Calif or. n:i a, desc•r i hcd ;is - f. of lows : Date: f'2( 9 ...PROPERTY OWNERS:„ r State o&11, rnl ). On this the 'Rel day r of' �P� 19 d'6 before, iiia, �y ) SS. the undersigned Notary Public, personally appeared County of r 5/� E] Personally known to 'Me. Proved to me on the has is ; /Udof satisfactory evidence. to,be the person(s) whose name(s) %5 subscribed to the within instrument and ,acknowledged chat _y executed the same for the purposes therein contained. I.N- WITN. I'?tiS WHEREOF,,I.hereunto set my hand and off ici.al. seal.. ' �®Aol��taw®e®eac®o6lmola®0®v®® JANE AN®®E 7 PUBLIC -CALIFORNIA - Present N :�y_ ~*-2p 1 u e oun \Present A.P. No. ,,11 1 0 � ��' Tv�y cbrrimission Expires July 11, 1989 10 Su.brcribed and sworn to before me 11 this 18th day of September, 1973. 12 302 13 Notary Public 21'I; '' P. portion of Lot 7, Block 22, of the Villa Verona 14prs(w�rt[wmowa�r+++n(,,,,,tt6,�trnaam��6tL>� i� , ! Tract, according to the Official Map thereof on I 15 22 file in the office of the Recorder of the County �uuwtauw.a.�u(([.....(u�(a....(�..........a.i of Butte, State of California, and more particularly 17 23 described as follows,. to -wit: 24 Beginning at a point in the North line of said Lot 7, from which point the Northwest corner of sated Lot 7 25;i bears West 105.00 feet and running thence along said :forth line of Lot 7, East 60.0 feet; thence leaving 2.6a said North line of Lot 7, South 100.0 feet, parallel to the West line of said Lot 7; thence parallel to 27 the forth line of said Lot 7, West 60.0 feet; thence !•� parallel to said West line of Lot 7, North 100.0 28 feet, more or less, to the point of beginning, in CX3 i said North line of Lot 7. 29 Containing 0.14 acres, more or less. rn 30 Also an easement for road purposes l;eing the 31 ` Southerly 20.0 feet of the West half of the Northerly 264.0 feet of said Lot 7, and the Easterly 20.0 feet 32-! of the West half of .the Northerly 244.`0 feet, excepting •r. OII.C(4 0I .EONARO S IVOE . AUvILIC CAlI�0AN1• MW 573-2662 , 1 therefrom the N%,rtherly 100.00 feet of said Lot 7. 2: That the value of all real and personal property owned 31 by said decedent at date of death, including the full value of 4 the property above described, did not then exceed the sum of 51! $11,000.00. 6 Dateo: September 1E, 1973. 7 8 y � Ti9tcHT i 9 0S S IE 10 Su.brcribed and sworn to before me 11 this 18th day of September, 1973. 12 13 Notary Public 14prs(w�rt[wmowa�r+++n(,,,,,tt6,�trnaam��6tL>� i� �,i:.� LEOTA M. ELLIS i� 15 16 "i! �uuwtauw.a.�u(([.....(u�(a....(�..........a.i 17 END OF DOCUMENT NOTES --AA Materials & Workmanship Shall B6 %w -qff§ gam' tffl 'efYif spee fficaf ons MUST N Accordance w+i•ih Recognized Good Fraci-ices ancWl irr� rpt all times and it is unli 461'+tof a 'quality prescrWe for the Specifie-I use in the �Ra� any.g[tat�t;as or alterations on same Wlhh0614 Uniform Building, Plumbing & Mechanical Codes and Iftn perrAlssion from the Department Of, POW Fhe National Electrical Code. i eft ®# OUR& pbrfiif`wm:b®`requ!�A for Wm .� Wallmtiori of the mobilehomo. I } � Utilit' c6r5nections shall b� ��ait�tR , 140', ef•the m -obi ehom - .._-: .. .T._ _ w - -i - E, ei•hher � ---•- # A wIlr"eCtiy behind -c' r within the `rc +.r-.,._ �, w i.. -- { ,_. ,,� ,Ofi ,'�.�. iw }-+-. j i ` • I.� -,. + , j ' �TFEO�blle6oOrrle. .. - MOBILE 140ME- MUST.,.— ® GpAi► T'To Ex�sT�� BEAR l4.0 -D. LABEO T' 2A- setback of 5 ft. from the` property lines and a setback of 50ft. from the road t s cohi`erlir'le shall be clear of r structures or equipment except for a 2 ft. eave overhanq,,. C(ear aR . i f =5a vvxAG OU I � . ► l 3 ao ,- Q S 14 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541.' MOBILEHOME INSTALLATION SHEET 1. Owner's Name:, ,f 2. Installer's Name: 3. Is the site currently under permit? Yes I4 No (If yes,. furnish permit number _jJq "O — ) OR Is the site an existing site? Yes •l No 7 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at.leas.t 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 14 No (If no, clarify ►. 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site -circuit breaker rating? ----- / Amps 8. Is there any.other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome.site gas pipe size?--------------� (in.) Natural LPG 10. What is the type of gas service? ------------ - ------ .. a 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- V (ft.) * 12. What 'is the mobilehome gas demand? ---------------------- 2 Di oeq D (BTU) *(This.information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) s� fit 9 MOBILEHOME SUPPORT DATA If other .than single wide, Mob ilehome Mfr. furnish Setup Model No. Year 111;�2e—� Width (ft.) Box LengthTagalong 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)F7 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams s 1ne Z Line 3 —---------- .� Line Main Beams — — — — — — — --� — -- — tine 2 Line 1 Me -- — — ------ Line Tag or Triple tine 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- _ Each Side of Openings From Ends -Max. ------- " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size-Min-------------Size-Min.------------------ 'x "x Spacing -Max. --------- ; Spacing -Max ._-------------- '- From Ends -Max.------- �'- O From Ends -Max .------------- " Line 3 Roof Loads: Size -Mia. ------------ Location (From Front) e 4 Piers: i Size -Min .------------ k Spacing -Max.--------- „ From Ends -Max. ------- e 5 Piers: (Under Bearing Walls Only Size -Min ------------------- Spacing-Max ---------------- From ------------------Spacing-Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min.------------ „x „x .,x „x .,I �k nx -nl ,.x „x 11Location (From Front) - - ��'�'! VV It NQ INN ®` v �0