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Home My WebLink About078-310-056N CO WOJC►K99 1279 4580 VE Avenu a J. roville Contr. Ro avis >___ e W&-4 (iiF_KH Bfis' 02 0382 CO-1TRI:LL, DARLA 4550 VE RD., OROVILLE CONT: TED BIGELOW DFM01-10USE nw( 5_28-02 &Hr-t6j-)t6 02-0383 COVI BELL, DARLA INALED 4550 VE RD., OROVIL CONT: "FED EIGEL04 I—oZ—O DEMO ADDITIONAL S - UCT. 02-0473 C,0 Dariz 4580 V -E Rd., vi!le� Cont D & A Construc.'e New MH on Perm Fnd-E. Si u -3.I o_ a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0383 ASSESSOR PARCEL NUMBER 036-103-046 ZONING BUILDI PERMIT OWNER DARLA COrITRaL TELEPHONE 533-5424 SO. FT. OCC. BUILDING VALUATION est 900-00 OWNER'S MAILING ADDRESS 4990 VE - Orovi I It-. CA 99965 CONTRACTOR'S NAME Ted Bi elow TELEPHONE 533-9187 CONTRACTORS MAILING ADDRESS 1290 Robinson St., Oro ville, CA 99965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ JOO. 00 ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4550 VE Rd Oroyille Energy Plan Checking Fee $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Demo Additional structure Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 4 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service " A 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. ! / O �/ -/ Lic. No. License Class 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that ifI should become subject to the workers' compensation rovi.%anof section 3700 of the Labor Code, I shall TI rovi ' ns. r ®l% X Date �j+ Signature of Applicant A&W7Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height Main Service PGOA TO 46.00 NEW CONST. DWELLING OCCUP. SO CCU so OR ADONS. d ACC. BLDS. 3.50FT. PpµR6,� MULTI.Oun Er 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. ': Ex. Occup. OUTLET OR FIXTURES SAL @50 FUCED APPLNs. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the of the Butte County Code and/or indic ed above for whio fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date �� v,4� pg Receipt No. 5 — WHITE-D.D.S.•B.D. CANARY -ASS PINK-,NSPECTOR GOLDENROD -APPLICANT oil �• Demolition Permits Asbestos Notification Statement Date J .—�5 AP# ®3G' -/p Pursuant to section 19827.5 of the California Health and Safety Code,. all demolition permit applicants are required to fill out this form. 1119827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolitionpermit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the I demolition project located at Signature of Applicant OR I hereby.declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolitiop project. Signatur Applicant May 1995 3.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center,Drive • Oroville, California. 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 001��+L�4 ASSESy40 PAf3C U�,pFp ZONING BUILDINePERMIT �jby� *�1 /q�'{/i�t��j7N't`^pT OWYJIR3LSLL'! TELEPHONE // 53.E -5424 SO. FT. OCC. BUILDING VALUATION est OWNERS MAILING ADDRESS CONTRACTOR'S NAME 1 Ted .i M TELEPHONES 07 . CONTRACTORS MAILING ADDRESS 1250 RobinsonR CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 455® 1 E Rd, OroVill� Energy Plan Checking Fee $ $ PERMIT FEE $ 35r0® LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Demo Additiallid strinture Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zoOAORLESS 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 l 5 ,� A Lic. No. ,� s OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ` Main Service 200A TO lOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDs. SO 3.50FT. No gaID MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo p ,.00 BAL @ .50 FIXEDAPOR Ex. Occup. oLmETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) Lt ]== I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith-comply'wlth AtFjose provisions. " ' X �� Date �" 4� � r sf�� Signature of Applicant Contractor ❑ Agent An OSHA permit is required for rexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or ' indica#ted above for whichfees have By ��[ / PERMIT EXPIRES ON� applicable provisions Resolutions to do work been paid. Date L), ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASS SSD _ PINK-tNSPECTOR GOLDENROD -APPLICANT M pe 036-103-046 02-0383 COTTR.ELL, DARLA 4550 VE RD., OROVILLE CON"f: TED BIGE.LOW DEMO ADDITIONAL MUCT. �...�..�s-�. �`-....rt,.�-..._.,a-: '" -p �Mr y+-<N'._.,..;+�,•�u-a++,{.o:`:�"v,fa19'9�-•'r,v^;-.gayly:qry»r-2L�li'�•�.:v:s�vrrsry.�psW'ss-s�+es� 036-103-046 02-0382 COTTRELL, DARLA 4550 VE.RD., OROVILLE CONT: TED BIGELOW DEMO,HOUSE are-: Yvien.-rwg Y -��.. ... . rte. «r:.w, K• . , --� . r - —.. ..... .. ,.5, _ _ .. ,.. v _... L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 - 541 02-0SPFWIT NO. (Rev. 12/96) APPLICATION AND PERMIT o2 --(1A82 ASSESSOR TcELNUMBER 036-103-946 ZONING ILDING PERMIT OWNER TELEPHONE 533-5424 SO. FT. OCC. BUILDING VALUATION EST • UD OWNERS MAILING ADDRESS OROGUS 95965 CONTRACTOR'S NAME TELEPHONE 533-9187 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace j LENDER'S MAIUNG ADDRESS Total Valuation $ 500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35=1 15. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4M VE RD, OROYTIZZ Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF j) Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 14 Describe Work: DEMO HOOSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 L 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. '^ �/ O % License Class _/ Lic. No. r V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNJG OCCUP. OR ADDNS. ( 8 ACC. BLDS. s0 3.5¢FT, lD. OUTLET 1Njcp}paMULTI.rS IR @7.50 POWER APPARATLIS b SINGLE OUTLET c,R. Ex. Occup. OUTLET OR FIXTURES B4L ®'.50 FIXED APPLNs. OR Ex. Occup. DUTY R=1o. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) • 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation prows'0 s of section 3700 of the Labor Code, I shall forthwith corg ly with thea• rov' ons. X Date i+ " ✓ - "� Signature of Applicant - ❑ Owner-' , Contractor ❑ Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLooD CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indic ed above for hich fees have ,i By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. � - &An Date r Dewe Receipt No. 341111 • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT v_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) - 5 7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0382 Fr ASSESSOR FrCEL NUMBER 036-103-046 ZONING ILDING PERMIT OWNER DARLA COTTRELL TELEPHONE 533-5424 SO. FT. OCC. BUILDING VALUATION T . OWNERS MAILING ADDRESS 4550 VE RD OROVILLE 95965 CONTRACTOR'S NAME TED BIGELOW TELEPHONE 533-9187 CONTRACTORS MAILING ADDRESS ' 1250 ROMSON ST, OROVILLE 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 500.00 ARCHITECT OR ENGINEER UCENSE NO. Filln Fee $ 20.00 Permit Fee $ XXXXX 15.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS VE Rn, OROVITLE Energy Plan Checking Fee $ $ .550 PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF XJ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Elf Describe Work: DEMO HOUSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service A 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.�O 3 //� /` License Class �—A_ Lic. No. � h OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zoOA TO ,000A 46.00 NEW CONST. DW %NG OCCUP. OR ADDNS. ( 6 ACC. BLDS. s0 3.5¢FT. NEW CONST. MULTI.OUTLET NDN-RESID. CU 7.50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES Zp @ ,,pp SAL p .50 Ex. Occup. ountrsRESlo)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Le of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisi s of section 3700 of the Labor Code, I shall forthwith co I w' Prov' ions. " X Date �� 2�� 2 ' Signature of Applicant - ❑ Own Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or Indic ed above for hich fees have By PERMIT EXPIRES ON I 1,JOate the applicable provisions Resolutions to do work been paid. �ate 0 Receipt No. 343291/$35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL _ '• 036-103-046 02-0473 COTTRELL, Darla 4580 V -E Rd., Oroville j Cont: D & A Construction 4 New MH on Perm Fnd-Ex Site . I - f o-%9( opZ - 03910Q� o a- 0753 4 THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. Z FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER { ( I t OFFICE COPY Address GAS Meter By Dat I, ELE 2 Me y i ELECTRIC Meter By Date`=�� mZ JOB FINALED (Date)—s� r. Signature 14 Im ✓ = OK 0 = Not OK - = NctiApphgable = Not Ready • MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Too�Zooing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ting.; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector &400Electrigity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 2. Soils; Special MH Support Sketch 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Sewer; Location -Test -Fall -C/O -Concrete B. Gas and Electricity Tagged 4. Water; Location -Test -Easement Needed (Sketch) 9. Tie D s -Type -Installation Can. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete xits; Insp.-Sketch 11. peof Occupancy 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG J'1�2.42rmainent Foundation Only; Liee�al 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE OME INSTALLATION (Plans) OK except #'s Too�Zooing Requirements -Setbacks -Easements Z ting.; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector &400Electrigity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 2. 7. Water and Sewer Connected -C/0 to Grade -HD Approval B. Gas and Electricity Tagged Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 9. Tie D s -Type -Installation Can. 4. xits; Insp.-Sketch 11. peof Occupancy J'1�2.42rmainent Foundation Only; Liee�al Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2Sr�Tt2_ ° D MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 1 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 i' 11. Light Niche Date Card B-1 Date Card B-1 I; Date Card B-1 Date Card B-1 > 1 J = OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors' 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting. -Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Sfeel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies . Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ft's Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes J No/Walks J Yes j No/Planters J Yes No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ff's Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearinq dingle & Duplex) , Date FRAMING (Continued) t 46. Hangers -Post Caps -Anchors -Connectors' 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 6'. . Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes j No/Planters J Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION 'r DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 - r 7 -County Center Drive • Oroville, CA • (530) 538-7541 *' CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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. V 6.� 1A11 % L t "1 _e e11 COUNTY'OF BUTTE - DEPARTMENT 6F DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) , APPLICATION AND PERMIT o ASSESSOR PARCEL NUMBER 0,36-103-046 ZONING BUILDING PERMIT .OWNER TELEPHONE SO. Fr. OCC. BUILDING VALUATION 1848 R 99,792, . OWNERS MAILING ADDRESS 1777 IP CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 1740 EEATHER RlVa BLVD GRAqLL91 CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ -319.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21-00 BUILDING ADDRESS 45 -E Energy Plan Checking Fee $ $ PERMIT FEE $ 362.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IXOther SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXX Describe Work: NEW ME ON PERM FM — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 i*sA*n full force and effect. (�_ �]�j1. License Class Lic. No. �� i tA 1 OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( a Acc. eLos. SO 3.5QFT; =R.,.. MULTBRANCI.OUTLET 97.50 POWER APPARATUS a sINGLE oUTLEr cIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .30 FUCED APPLNS. . OR Ex. Occup. OUTLETS RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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 (�� U 311 e e (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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X uNil! Date _ Signature f Appl ant - ❑ Owner ,'Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3'stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ 470./5 HAz. D FEES I I VPD CDF PAV ly I HD S This permit is hereby issued under the applicable provisions of the Butte Co ty Code and/or Resolutions to do work in 'cat Ove r which fees have been paid. /W 3 Q 2 By if Date PERMIT EXPIRES ON '3 3 Date ReceiptNo. 3f3 %1 t 3if 7' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEiCTOR GOLDENROD -APPLICANT ."'W„�; y �+�, .� -� - 'i`.� d" ,. .ti- ..,�r� 'j..i..r -. .}lrltl►�.:,::.� --+-ter, �..-..7r ,.::1, , t -Y _ ry � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, OCOVI114e i_ i1 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: R: �O ' ` ASS SSOR PARCEL NUMBER Irep�G �[ , Proposed Building Use: Q�'� `� M Counter Technician: Date: `�y Items required in order io apply for a permit. All boxes MUST be checked OR mare NA in order to apply. .( L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance desig and supporting documentation in duplicate. .3f V0 6. Manufactured homes Data sheets and installation instructions/Marriage line in, loor Planie down or �J��- foundation plans, all°in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. 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.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ j17. City of Chico Plumbing permit......................................................D.! t �" �•fi o✓ rev A& & California Department of Forestry plan,approval Q paid. Sent by 3�e2$ 02 ❑ 19. Planning approval for (A) Use: 1< (B)Parking: (C) Parcel Check: 3 j2-02 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 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....................:.......................................... ❑ 29. Existing violatio and/or expired permits....................................................... ❑ 30.-*trant Dee�M.H. Title/ at t ❑ * from Legal O,yner ❑ Check to H.C.D. $ ❑ 31. Other: -tu e ckcd- M tit' o �YJ �L When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 3 ! LQ'15L, 1. Index permit application for the abo�e i mbe ed: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advise o/1hjjT65ve data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, as advise a ab a ota by ❑ phone, ❑ mail, ❑ cou ter, by Date: Plans reviewed by: Imo _ Date: 3 �v Plans approved by: &6 Date: D Z Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 1 t,..4COUNTY OFaBU.TTE DEPARTMENT OF. DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE• CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER.— (I A.P. # PROPOSED BUILDING USE +"��''r`nDATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES :�c r l --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x =$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $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 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you ate 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 projector from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div.. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM c A (One for`mner Building) School District �U S ) Building Department No. A.P. Number Jurisdiction: city 1countv Property Owner Property Location/A( Subdivision Lot No. ................ ..................................1......... t.....?ti..................................................... Residential Development Sq. Footage No of Living Mob) a �%me!SupplementalAddRioN to (Group R) Units Installation Conversion Permit # / "(No foundation inspection); New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) Date (rloor Plans reviewed by.5chool District Personnel) District Identification No. School District certifies that (�iL�Gf�C/XX (Applicant) 4 UF (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 7/ lid—d.S by payment of $ lip% ,pQ representing (p square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # � Remarks: Notice: You may protest the imposition of the fees identified above by submitt:ifta written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 19-02 PERMIT NO.: Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNU 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County'of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: April 3, 2002 Darla Cottrell (D & A) ' Rancho Vista Dr Feather River v ) Oroville, CA 95965 (Oroville, CA 95965) (533-9643) Property Locations(s): 4580 V -E Ave Oroville CA 95966 Villa Verona Sub a portion of Lot 4 Blk 24 A. P. No.(s): 036-103-046 Fees due: Application for service a No fees due. Restoring service to new single family modular. PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s). observed: Location: A -- Lake Lake Oroville Area Public Utility District release to close permit: Date: By: Date: CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT hereinafter referred to as "Applicant", being the property owner or owner's agent desiring sewer service, hereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. l I % Location of property: V -E A.P.#: I 'C — V Subdivision: Lot#:_ Block#: Property Annexed No. of E.D.U.'s this permit: ❑ Property Not Annexed ❑ Property Annexation in Progress Kind of Service: ro Residential Residence of Owner ❑ Rental (single family) ❑ Rental (duplex) Industrial Commercial Multiplication Factor: 'Monthly Charges: b Capacity Charge: �— Connection Fee: ❑ Apartment SC -OR Facility Charge: Total Amount Payable This Permit:�� Site plan reviewed ❑ Jobsite reviewed The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are established by District from time to time. Signature of Applicant 11 q0 �c1. Mailing Address of Applicant ccu�,& e6t" Name of Owner if not Applicant CAD f a�- F.3g Mailing Address of Owner cl! J(0S Phone# of Applicant: �� 43 1. Phone # of Owner: CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or assumed by it under this application if,such failure be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permit(s) as necessary from the County of Butte prior to doing any work, including encroachment permits when work is within county right of way. 4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. 6. All work shall be inspected and approved by District. 7. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will be required, together with payment of any increase in capacity fee, connection fee and/or SC -OR Facility Charge. 8. District verification form must be issued with this permit. Payment of Fees/Charges required prior to final LAKE OROVILLE AREA P.U.D. inspection. Payment received by: Date: - Receipt # 131 a� ❑ CASH ❑CHECK # Date: �'3 $ Permit #: 'Monthly charge payable at the current rate at time of connection. I I REVIEWED tl B BUTTE CO. FIRE D CALIF. DEPT. of FOREST Y C- . k(\Q -z) J E] approved as submitted V\ -b r& -L \f3 approved with conditions i BY E EP ST Y e iti �o s I Pqr tlac s et. algraiure Data ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF T� FROM THE SIDE AND �'�V FT. FROM HER R PROPERTY LINES AND FT. FROM�HE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND r--,QuIPMF-NT EXCEPT cOR A 2 FE EAVE OVERHANG. N 7)ar 1::4 C0++re-�ll t4 is qct U- Lo ad REVIEWED BY I BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY i ern0 ❑ approved as submitted 2 ��C�Cin lk j approved with conditions � �� viA�k- e r4acll -her 1. 5ignattreD_ _t _.J '3\ckglGW . �e ALL STRUCTURI-S AND EQUIPWIE14T INCLUDING OVERHANGS SHILL BE CLEAR OF ALL EASEMENTS. A SET BACK OF d4A4-�FROM THE SIDE AND 3'D FT. FROM THE REAR PROPER -1 Y LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUTURES AND EQUIPMENT EXCEPT i�1 AOR A 2 FT. E�AV 'OVE-9HANG. V 7)ar 1::4 C0++re-�ll t4 is qct U- Lo ad REVIEWED BY I BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY i ern0 ❑ approved as submitted 2 ��C�Cin lk j approved with conditions � �� viA�k- e r4acll -her 1. 5ignattreD_ _t _.J '3\ckglGW . �e ALL STRUCTURI-S AND EQUIPWIE14T INCLUDING OVERHANGS SHILL BE CLEAR OF ALL EASEMENTS. A SET BACK OF d4A4-�FROM THE SIDE AND 3'D FT. FROM THE REAR PROPER -1 Y LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUTURES AND EQUIPMENT EXCEPT i�1 AOR A 2 FT. E�AV 'OVE-9HANG. CDF FIRE SAFE REQUIREMENTS n >_ — 6 77ee_,4 LL 2 AP# PERMIT # NAME Under authority of PRC 4290, the following hecked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will b superseded by Butte County local regulations which equal or exce d these standards. Field inspections will be made by the Butte C unty Building Department for compliance. 1272.00 Maintenance of Defensible mainte);ance of properties standa s and measures an, ability, access and utili provided or in these st must be pr ide for by 0 Driveway Standards 1273.02 Surface. All dri e% 1273.07 culverts and oth ment the roadway structed access to ing sedans and fi; pounds. [ I`} 1273.03 Grade . Not to exp Space. To ensure continued in conformance with these to assure continued avail- ation of the defensible space ndards, annual maintenance s land owner. y urfaces and structures (bridges, p urte:3ant structures which supple- d or shoulders) shall provide unob- : nventional drive vehicles, includ- apparatus weighing up to 40,000 d `k6 percent unless paved. 1273.04 Driveway Radius [`fl I. No roadway sha 1 have a orizontal inside radius of curvature of ess than 5 feet and additional sur - .face width of 4 feet shall a added to curves of 50- 100 -feet rad' s; 2 feet to ose from 100-200 feet. [�} 2. The length of vertical.curves i -roadways exclusive of gutters, tches and drainage structures designed to hold or d vert water shall be not less than 100 feet. [�3 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 fe t from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3--. V 01 -90 L U -4- AP # PERMIT # NAME (�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but '\ less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1, Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the J roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parQels l acre azid larger shall provide a mini- mum 30 foot setback for buildings and accessory, buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 F AP # PERMIT # Other Reouirements 0 If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves 60 4,&L, NAM [ ] If Building Setback is Less Than 15 Feet Choose any 3,: of the following: - Metal or nq doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D —Glass area not to exceed 10%, of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [ l 3 -<< 10? Date Signature Page 3 of 3 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. \ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [Y`} 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway.Radius N1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�} 2. The length of vertical curves in•roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�3 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall.be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--. AP # PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate -entrances shall be at least two feet wider than I the roadway it serves. 2. The gates must be located at least 30 feet from the I roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane / provides entrance, a 50 foot turning radius shall be used. Fuel Modification .1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect: See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 t 3� -(D3-�_L D2-nq?3 AP # PERMIT # Other Requirements [x If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves' Coy ,4L NAM Choose any 3 of th followi g: - Metal or no doors on sid toward property line with insuffi- cient setback - Class A or B roof 'tr enclosed eaves - Interior automatic i_lkler system per NFPA 13D - Glass area not to a ed _0% of wjppved rd property line with insuffic'en setback Siding from the f low'ng list: Stucco - 3 coa Hardi-Board Plank Masonry Masonry ve eer Metal Other Bu to County Fire par materials Date Signature Page 3 of 3 02/121*02 09:56 BIDIIELL TITLE CUSTOMER SERVICE -) 5305330:25 N0.250 Peoe �3-;8�9? _ PARCEL N0: 036-103-045 036 -10? -046 A Mrtlon of Lot 4 in flioca 24 in VIIIA Verona, accord?nq to the Offlcla'• WSJ.' thc:•00� fLlrxi in the office of the Iz000r1L.r or the Crnrity of 11%:Lte, State of ilif01:110, January L7, 10d9, and rrnrc as (r)llrrigl Uogitlning Tt the, Northcast mrnr•.r ^f Said tat 4 Nhtch r"Int; 1s 0t. the lr.tcrv.,ct!rn of tho canter line of V-6 riout and tlra center l l llc 7f V-li 110041; th•;nce 5o111.11 a it rnj tho Eaat lino of said lot 4 irwi the center Ltn: of uaid v -F: acrd a dl-sta.lcr; of 34S (met to a Mont; thr;nco We:)"- and rmrollel -,ith the 110rth 1t17.c of Sv1rl Irm 4 a dletance of 180 feet to A f»1rt; t..ience NOrth 01111 Ixff,111c1 ut'.h Cthe Fast Iino ('f sold int 4 ii 610tance of )45 feet to ,o point on the WmAlr 110c of c01d1 int •I and on the center line of :;alt V-6 Road; thcnc,: F.]at along the Ikrrth line rri aald 1/)t 4 &vi the center line of s01d V-6 Rn,1ri.A dlStaflcl? ct 1JQ feel to :.1,C point of beginning. RT-!;pRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUT -I -E COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 C01: 1Y of Document Recorded 29 -Nay -2002 2002-0027617 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS L.I\'E FOR RECORDER USE 0NL 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 [lie 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. DARLA J. COTTRELL REAL PROPFRTY OWNEWLESSOR 4580 V E ROAD MA]LING ADDRESS OROVILLE, BUTTE, CA 95966 L Il \ COUNTY STATE LI? SAM> - INS I'ALLA7!0`. \IAILING ADDRESS. IF DIFFERENT CI rY -- COUNTY STATE `LIP JEFFERY FIELDS & JANA FIELDS UNIT OWNER (ifalso property owner. write "SA.ME") 1777 7TH AVENUE BUTTE COUNTY BUILDlj-:(r DIVISION LOCAL AGENCY ISSUING PER\IIT and CERTIFIF%\!'. Di (:'CE --\,c, ` 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY S'I':\TE ZIP -- 02-0473 (530)538-7541 BUI D a.'G ERMI 0. SIGNATURE. OF LOCAL .-- -'C\' OFFICIAL !);\1'I_ NONE DEALER NAME lif not a dealer sale. write "NONE") MAILtw ADDRESS DEALER LICENSE NO OROVILLE, BUTTE, CA 95965 CITY COLS \1", I STATE ZIP UNIT DESCRIPTION CHAMPION 2000 INFINITY MANUFACTURER'S NAME DATE- OF MANUFACTURE MODEL NAMEINUMBER 0901-258-12008A/B 26'8" X 66' TRA488200/ 1 SCRIAL NUMBER(S) .� LENGTH S WIDTH INSIGNIA,'LABEL NUMFIERtst RF. M. PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL WMBER A.P. #036-103-046 SEE ATTACHED I ICD FORM 433(A) REV: 8/91 WHITE -County Rea;tder t. ANARY - HCD PINK - .Applicant GOLDENROD - Buildin¢ DrP: BUILDING PERMIT NUMBER: 02-0473 Address or location of unit: 4580 V -E ROAD, OROVILLE, CA 95966 Legal Description of Real Property: AP S036-103-046 P SEE ATTACHED - (x) Mobilehome/Manufact_ured Home O Commercial Coach Has been affixed to the real property above by installation on a -'foundation system • pursuant to Health and Safety Code Section 18551. Owner's name: JEFFERY & JANA FIELDS - Owner's address: 1777 7TH AVENUE, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: TRA488200/1 • '.t SERIAL NUMBER OR V.I.N.: - 0901-258-12008A/B MANUFACTURER_ 'S NAME: CHAMPION YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 05/28/02 r PHONE: (530).538-7541 H.C.D. 513C kit%12/02 09:55 2I DWELL_ TITLE CU's TONER ER! I I C= =.530533(-1i 25 rirl . 250 P006 93-46492 NEGCROtNQ P6CVESTEU U` DARLA J. COTTRELL 93-048492: i oN.i vn.'F•eti!CI.t)1: .iw: t:'• —'9alr48492: I Rac Fee } ► Cash N.n 1 DARLA J. COTTRF,LL Recorded ► Official Records I 4580 V E Avenue County of I �.° Oroville, CA 95966 Butte I _..;i Candace J. 3rubbn I Recorder I '_=------_= _ -= =---- 1.36pn 1-NOV-93 1 FU9!, r 4AR ,AA ;r% I EMEATS 'C j; ft w ( DARLA J. C01'TRELL lX?:U4ENIAII' TRANSFEPT-1 4580 V E Avenue MAFlTED ON FULL VOLT. 09 P70DEPTYCOMVEIE? ` A429M OR CnMWTFD ON l:u VALUE LEE LIN.S ANO Oroville, CA 93966 L. J EISUNDAANLE , r%LWA1NING AT rime OF SM.E _•_• `ri>teo 11:W1M W AgW1 .UtiN!1^•K D,. F�Im NOniI •••• • ••. �.�. FL Grant Deed. This geed, made the TIifR!ty Nir_eth1. ,.,,•......•...••.......•.................... day of October one thousand nine hundred and ninety-three ...... •....................................... Between RAYMOND L. PROUT Y ...........•.......•...•..........................................................,................................................. Grantor and .....................DARLA. J,:.. COTTRELL . an, unmarried wan,an..................... ......•..............................................................................•...........•..............•....................•.Grantees !III f WitneSSeth: That the said Grantar, in consideration of the cunt of ...................................... {I ?AN .... (A.t....•............. ...., do! Iar- j .......... lawful money of the United Staten of America. in hand paid by the said Crantee. the receipt whereof is hereby acknowledged, do IVA.... by these presents grant, bargain, and Eeii unto the II I said Grantee, and to .... hex....... heirs and assigns forever, all ..__ .........................•....•............. i i1 ................... th-At ......... certain lot .•...•..., piece.........., , or parcel 5.................of land situated is the r Butte California 1 ................................. County o, ............•..... of ._.........•......•......•.•.. and bounded tine I describe as follows: VLGAyih SEt.' AY"t'/CNz..l LLk;A:. UESUALPTION r!MI Ox*• "• W" • cern op ~ wn to ~ 10 — w m•W M%W^_ ra1...o � am a e owft. e n a eftaubm b M &&M' a M Av,ry 1T.o "t D -IW OM MY -WW" ams:@WM40006? M m w OV-M*d WN WOOM 019% NAWOFV.0 SOW tw.lnd4 IS,a, w iUW&Pr%%NV4 rMi=�7WAAITR PIPl.RFslgl.aAaia - _—"1liR+'--:F•.>::_ -- _:�— ==� II I IIS (j;li :. Oroville, CA 93966 L. J EISUNDAANLE , r%LWA1NING AT rime OF SM.E _•_• `ri>teo 11:W1M W AgW1 .UtiN!1^•K D,. F�Im NOniI •••• • ••. �.�. FL Grant Deed. This geed, made the TIifR!ty Nir_eth1. ,.,,•......•...••.......•.................... day of October one thousand nine hundred and ninety-three ...... •....................................... Between RAYMOND L. PROUT Y ...........•.......•...•..........................................................,................................................. Grantor and .....................DARLA. J,:.. COTTRELL . an, unmarried wan,an..................... ......•..............................................................................•...........•..............•....................•.Grantees !III f WitneSSeth: That the said Grantar, in consideration of the cunt of ...................................... {I ?AN .... (A.t....•............. ...., do! Iar- j .......... lawful money of the United Staten of America. in hand paid by the said Crantee. the receipt whereof is hereby acknowledged, do IVA.... by these presents grant, bargain, and Eeii unto the II I said Grantee, and to .... hex....... heirs and assigns forever, all ..__ .........................•....•............. i i1 ................... th-At ......... certain lot .•...•..., piece.........., , or parcel 5.................of land situated is the r Butte California 1 ................................. County o, ............•..... of ._.........•......•......•.•.. and bounded tine I describe as follows: VLGAyih SEt.' AY"t'/CNz..l LLk;A:. UESUALPTION r!MI Ox*• "• W" • cern op ~ wn to ~ 10 — w m•W M%W^_ ra1...o � am a e owft. e n a eftaubm b M &&M' a M Av,ry 1T.o "t D -IW OM MY -WW" ams:@WM40006? M m w OV-M*d WN WOOM 019% NAWOFV.0 SOW tw.lnd4 IS,a, w iUW&Pr%%NV4 rMi=�7WAAITR PIPl.RFslgl.aAaia - _—"1liR+'--:F•.>::_ -- _:�— ==� Liy : ob B i SWELL TITLE -..:. Pj T OMER - ERV I CE - 5305 30125 N0.250 Pale? __ --_ - :---_-------_--- - _93 48492 Together with all and :singular the tenen:enta, hereditaments, and appurtenances thereunto 'I? li oelunging or appertaining, and the reversion and re•: erstonts, remainder and remainders• rent:,, it;sues, and Profits thereof. lit � To have and to hold all and singular the said premises. together wish the appurtanunt��, unto ! � the said Grunvxa,asioiInt ten ants. andnot astenants ir,.0Ammon, with right ofsun;vo•ahip,and!ot)-theirs i and aeaurne of such 3uJnivor;rr survivor- forever IliI n Witness Whereof the sai Grantor ha s........exe:uted this eanveyt:nce the day and year i fBret above written i °il ii (_ Signed and Delivered ir_ the presence of ........................................................................... it .... ,......._.............. A'!M(1P1D L RG ITY L, h 1 S t II .I I k�1:,S ...I......CO:Z.UF 1.L :'t IILL . •.iI i I � � i ;� , il; pot i:State of California, 4n 9r,1�.�fore ss, personally an earedpersonally : II; i Countyof .,.,,... dU...... .................... known to me ter proved to mt on the bat;is of satisfactory evidence; ai to be the personte, whosp name(3) is'are aubt:cribed :n the within instrument and erknowledged to me that h6shothey executed the t same in hiW:ieritheir authorized c9ps6tyties; and that by his/her. h' , pl^HaA� FEUER$TE;h • their s;g-,aturets;on the inr;trument the persnniisIorthecntity upon C ' CO.".M 0.08104n behalf of whicL the personas; acted. executed the instrument. l=0rAtiY PLOLrC•C.a4;OnMA Fj out?E COurvr aM I -CMM CAPv.$Feb. 23. Leer ' WITNESS my handarr, ofPi a_ I sgj,). Signature ..G.�4.,... ...,.:fr-1 ThwM10..VIIMft01--.I,. 0... ---Kr r.Net .11 b DN '. Na0. . 11v DrvwN OtM n,w'N...wy w.n.•�l M`s...O..1 b ..W+O .1 b 7,. I.�w. ..W 0 aft t b h. �A.l w (1 V — — , ." W.:K n.nwR tkM„Aek' . ao�dr.+ner Gr.. tAN. - .. . T- STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) Ifir8-3o0/1 I/ We, the undersigned, hereby state that the unit described above: 6C (;,.0 -a or"., a p� C n, Ci. ►�Er�-t- C'� ��r�cLc-< - LL n c�{ Y Gv, `4'S c>. -�Orncz S, Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on �1 al IO� at: Oroville --� (Date) ,California (City) (State) Signature of -each affiant Printed name of each affiant Michelle Freel, Office Manager Address 1740 Feather River Blvd. City Oroville State California HCD 476.6 (Rev 11/86) 1777 . -Ti-k AveitUe- �ravll�t �'� 95(05 533_ spay . M ff 6wnLrs -- , r .. .. -. . _. -, v .-�—r- --'•v-� .T-T-•...o.�-.�.'A -„ „ . �a� .-- _ �.- o. . R .. ,.. -. �. - .r ..--.r s+ti _ CD —,y=1219 4580 VSEL W-OJCIK, Daela J. �lveni►e,:Oroville Contr: • Ron'Dav1s Demo iAP • ' 7 . COUNTY OF BUTTE - DEPARTMENT OF DF ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Calitbrnia x5965 • Telephone (530) 538-7541`.� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��" f / I ASSESSOR PARCEL NUMBER 036-10 ZONING BUILDING PERMIT OWNER DAFLA J. T TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1860 DEArLLE CONTRACTOR'S NAME RON DAVIS TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4580 V F AVE, OROVIT1117, CA Energy Plan Checking Fee $ $ PERMIT FEE S 3 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S I ELECTRICAL PERMIT Filing Fee 20.00 800VOR LES Main Service 20 DA 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 fro_ m the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. �iX I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. DW .NG OCCUP. OR ADDNS. ( 8 ADC. sLOS. SO 3.50FT. NEW CONST. MULTI.OUTLE7 NON-RESID. @7.50 POWELEPPARATUS 8 SIR A NGOUTLET CIR. Ex. Occup. OUTLET OR FDnURFS 20 (9 ,,,o BAL @ .SD Ex. Occu . oFirrLEEDTSA R GEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � X%l t%1 r. /., 1..� // lV % Date Signature of Applicant - .Owner ❑ contractor ❑ Agent An OSHA permit is required for excavatio s over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r Z., _ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date - /O Date Receipt No.f �" ` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEV!''` PMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, CMiforn 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4 ASSESSOR PARCEL NUMBER 036-103-046 ZONING BUILDING PERMIT OWNER DAELA J. COTTRELL - WOJCIK932-0192 TELEPHONE SO. FT. OCC. BUILDING VALUATION 500— EST OWNERS MAILING ADDRESS 1860 VEATCH OROVILLE CONTRACTOR'S NAME RON DAVIS TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 500 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 ±f PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800OR LESS Main Service 200A 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. ` X A Date SicfnatLke ofant - Owner ❑ tractor ❑ Agent An OSHA per s required for excavatio over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SG OR ADDNS. ( a ACC. Blas. 3.5QFT; p6IDT. MULTI.OMU7 @7,50 APPARATUS 8 SINGLE OUTLET CIR. zo @ ,.00 Ex. OCCU OUTLET OR FORURES 91L @ .SO Ex. Occup. oirrlEEis AEESIO) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 -LD. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ( 4 J0/ EXPIRES ON /� I the applicable provisions Resolutions to do work been paid. Date %® /00� Date Receipt No.PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK- SPE TOR GOLDENROD -APPLICANT