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079-200-028
I ev, Warren T. Ambrose 2PhaetonVa-07920-020-Zr --Vj IPZ81 Oroville Permit #922-7M(util; i4=71 it/ ELEC. � --7—go -L0,0 ---x GA S Zk 2- Sw SUPPORT STRUCTURE REQ. -i4gy COMPACTION TEST REQ. ft L contr: Loyd's Elec., Orovill Permit #1666-79E(elec. & yard light/ 01 160-91MHI GRAF, Modelle 2623 Phaeton Dr, Oroville Contr: Blakes Affordable Hous 9 (installation/mh) 1366-91B GRAF, Modelle 2623 Phaeton Dr, Oroville (new decks/mh) Permit#2796-91B( car' ing deckT--"—& cover exist" PERMIT#97-1378 GRAF, Modelle 2623 Phaeton Dr., 0 oville Cont: Sierra Mobile Home 491 Ex MH on Perm Fnd R RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 .97-0262711 Recorded I Official Records I County of I Butte ' I Candace J. Grubbs I Recorder I 2:10pm 15 -Jul -97 I Rec Fee .00 f Cash .00 f t t r I COMS XX 2 1 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MODELLE GRAF MANUFACTURER'S NAME 2623 PHAETON DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT COUNTY STATE - ZIP SAME UNIT OWNER (if also property owner. write "SAME") BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 97-1378. (916) 538-7541 BUILDIGRMIT TELEPHONE NUMBER 7/15/97 SIGN DATE NONE DEALER NAME (ifnot a dealer sale, write "NONE") MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDENWEST HOME 3/8/90 GOLDEN WEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALCC8149A, B 60'X28' RAD 530288, 530289 RIAL NUM BER(S) LENGTH N WIDTH REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. #036-780-028 HCD FOR -M 433(A) REV. 8/91 \VHrl-E - CounryRecorder CANARY - I -ICD PINK. -Applicant GOLDENROD - Building Dept. INSIGNIA/LABEL NUMBER(S) LEGAL DESCRIPTION A.P. #036-780-028 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A PLANNED UNIT DEVELOPMENT",'WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 26, 1978, IN BOOK 66 OF MAPS, AT-PAGE(S) 48 AND 49. PARCEL II: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, VEHICULAR AND PEDESTRIAN MOVEMENT, PARK, RECREATIONAL AND FOR OTHER PURPOSES OVER THE COMMON AREAS ALL AS SET FORTH IN THE DECLARATION OF RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477, OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20, 1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL 17, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12040; AND APRIL 23, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768. RESIDENTIAL 036-780-028 GRAF, Modelle PERMIT#97-1378- PERMIT NO' 2623 Phaeton Dr., Oroville Cont: Sierra Mobile Home PERMIT EXI • Ex MH ^on P --arm Fnd " //0/ '3 V .— OWNER CONTR. ASSESSOR PARCEL LOCATION nn HU) tUE11 4J:JA YUK THIS -MH -CANNOT BE 1CORDED UNTIL ONE OF THE FOLLOWING HAVE SEEN TURNED IN TO THE BLDG DIV: 1. LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST FIND & RETRIEVE) NSPECTOR MUST VERIFY SERIAL & LABEL #'S Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK 0 = Not OKNot ° '=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1.. Zoning RequirementsSetbacks-Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-DepthSpacing.Cmnectxr Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete ' 4. Wood Awn.; Pos"eams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures S. Electricity; Locabon-Clearances-Cmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location-TestWrap; / /'LYL / /Nat or/ /°L"fL/ /LPG 7. Electric, 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root, Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 'Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS'(Plans) OK except #'s 3. Gas; MH Test-DemarKWalveConnector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability -5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water, MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval S. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert 7. Elec.; Bonding; Metal w/3 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Vater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPOgTS; QUIAGES Tans) OK except #'s 1.. Zoning RequirementsSetbacks-Easements 2. Footings; SoilsSize-DepthSpacing.Cmnectxr Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Pos"eams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric, 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root, Shthg-Roofing 11. Ext; Steps -Doors -Landings '12. Braced Wall.Panels Date Card B-1 'Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS'(Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/3 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval _ 10. Plumb.; Cir. Test -Vater Supply Test 11. Light Niche A>' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist Rftr. Ties-Purlin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & 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 I - 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic • 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings,' 62. Infiltration -Walls- Windows I - ' Date Card B-1 I Date Card B-1 Date Card B-1 I Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector I 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor!Ducts-Meth. Protection 66. Bedroom Exiting 1 67. G.F.I. & Bath Fixtures &I Tub Access -Spa - 68. Elec. Trim & Subpanel,jBreaker Sizes & Labels 69. Stairs & Rails I - 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 & Recepticales 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 Flair -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.171.)-Romex Protection 79. lnsulation-Foam-Looked in Attic 80.. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl i ole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drivel0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect,IElectrical-Plumbing 85. Vents Above Roof, Plug -Appliance -Fireplace -Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 2. Ftg., Main; Soils-Elec. Gmd. / / Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ • /" Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /° Ftg. Depth _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped " 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test 2 Way C/OSewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MaterialSupport-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date y Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled.. 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits 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 & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist Rftr. Ties-Purlin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & 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 I - 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic • 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings,' 62. Infiltration -Walls- Windows I - ' Date Card B-1 I Date Card B-1 Date Card B-1 I Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector I 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor!Ducts-Meth. Protection 66. Bedroom Exiting 1 67. G.F.I. & Bath Fixtures &I Tub Access -Spa - 68. Elec. Trim & Subpanel,jBreaker Sizes & Labels 69. Stairs & Rails I - 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 & Recepticales 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 Flair -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.171.)-Romex Protection 79. lnsulation-Foam-Looked in Attic 80.. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl i ole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drivel0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect,IElectrical-Plumbing 85. Vents Above Roof, Plug -Appliance -Fireplace -Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING -754 DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT �_� 3 ASSESSOR PARCEL NUMBER 36-78-028 ' ZONING)WILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1560 84,240.00 OWNER'S MAILING ADDRESS 2623 PRAFTON DR QRn3JTJJ,E 959 CONTRACTOR'S NAME I I TELEPHONE SIFERA MORITE HOME R77-8575 CONTRACTOR'S MAILING ADDRESS 8965 SKYWAY PARADISE, 9,5969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $84.240.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 263 50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9623 PHAETON DR. Energy Plan Checking Fee $ $ OR PERMIT FEE $ 306.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ff Describe Work: NNNN EXISTING MH PERM FOUNDATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 500VMain 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.P License Class Lic. No. `I'7 O 3 96 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. BLos. so 3.50 FT.' NO..RESI`DT MULCTI• CUTLET NEW 11 I @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 9 I'50 BA2G .so Ex. Occup. Ou7EjE. pESIp.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 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. L� 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 S"LIQ*C FSP P MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number `l 1-S I (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. �j —,� 9 7 X �(� � Date c�/—° 0z Signature of Applicant - ❑ Owner 6'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 414.50 HAZ. D. FEES IMP _ _ FLOOD cDF PARCEL PD HD ISSU This permit is hereby issued under of the utte Coun Code and/or indi to b for' hir�h fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been` paid. ate�� 78 Date Receipt No. 2241o7 _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -IN PECT RGOLDENROD-APPLICANT COUNTY OABUTTE DEPARTMENT OF ?-7-GO TTY CENTER DRIVE - OROVILL ti PERMIT APPLICA TIENT SERVICES - BUILDING DIVISION [A 95965 - TELEPHONE (916) 538-7541 DATA SHEET y� OWNER: r a ASSESSOR PARCEL NUMBER: 3 Co _ -7 O Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. E13. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ----------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------- El 8. Hazardous Material Form. ----------------------------------------------'------------------------- s anufactured Home data and installation instructions including Tie Down Specifications. &Fees of $ 3'3 1 , S 0 ------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees--------------- ❑ 13.Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------- ---------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ❑ 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Marled to owner 0) - ------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------- E012-8. Existing violations and/or expired permi�ts.----,--------------------------------P� ---------------------------- a"_4'3�3_A,&& _rant Deed, �H. Title, ❑ Check to H.C.D $ a ---------------- 030. -------------- ❑30. Other:------- Whn rfyou issue etthe Dermit rocess as follows ❑ Mail to owner, OM�ail,to contractor. Telephoned 5 and hold for pickup at 06 office. ❑ Deliver with inspector. DIo Applicant: �S Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:— Date: By: (Date) r 7 60-0919 / 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ ail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: 5 Date: 7- Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �... . . ,irrr.red^r'�/`V+'--1.1r"�"`„r.n.t`1".*'rrrt.ti�.r...-y5i 3't`y,-�'="i°'�.,"w.-�`..�""'.�"'. _ �_... _,ti,,, s`�+..-^`F.r++i+^>a^+s4.w�tt^�s+'•^1.;,y.,T,. �.a-y-•�-�.-�. -.r«-ALI , COUNTY OF BUTTE EA. " DEPARTMENT SOF DEVELOPMENT SERVICES - BUILDING DIVISION A > 7 COUNTY CENTER�DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-754.1 '►SCHEDULE OF FEES DUE OWNER �� < <'P V r G PROPOSED BUILDING USE r)e ""'�f BUILDING PERMIT FEES -- 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 (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ J4.1 L. A1111. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. ;# 3 (o 02 DATE T REC # DATE REC f 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 1 DATE Original -Owner Copy -Building Div. (Rev. 12/96) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 197-026271 197-026271 197-026271 97-026271 1 )pec Fee 00 I Cash .00 Recorded _ I Official Records' I = y County of s. -1 • Butte 1 Candace J. Grubbs , I Recorder I 2:10pm 15 -Jul -97 I COMS XX 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY . Cp NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MODELLE GRAF MANUFACTURER'S NAME 2623 PHAETON DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CRY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (i[also property owner. write'SALIE'1 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 97-1378. (916)538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 7/15/97 SIGNATURE OF LOCAL AGEN . AL DATE NONE DEALER NAME til'not a dealer sale. write'NONE'i MAILING ADDRESS DEALER LICENSE NO CRY COUNTY STATE ZIP ij 8111: 6cif211LOW GOLDENWEST HOME 3/8/90 GOLDEN WEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALCC8149A, B 60'X28' RAD 530288, 530289 RIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #036-780-028 SEE ATTACHED LEGAL DESCRIPTION. HCD FORIM 433(A) REV. 8/91 WHITE - Counp• Recorder CANARI' - HCD PINI: -Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #036-780-028 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 26, 1978, IN BOOK 66 OF MAPS, AT PAGE(S) 48 AND 49. PARCEL II: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, VEHICULAR AND PEDESTRIAN MOVEMENT, PARK, RECREATIONAL AND FOR OTHER PURPOSES OVER THE COMMON AREAS ALL AS SET FORTH IN THE DECLARATION OF RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477, OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20, 1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL 17, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12040; AND APRIL 23, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768. Address or location of unit: Legal Description of Real Property: SEE ATTACHED LEGAL DESCRIPTION. BUILDING PERMIT NUMBER: 97-1378 2623 PHAETON DRIVE, OROVILLE A.P. #036-780-028 (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: MODELLE GRAF Owner's address: 2623 PHAETON DRIVE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD 530288, 530289 SERIAL NUMBER OR V.I.N. GW6CALCC8149A, B MANUFACTURER'S NAME: GOLDENWEST HOME YEAR: 3/8/90 OFFICIAL APPROVING INSTALLATION: DATE: 7/15/97 PHONE: (916) 538-7541 H.C.D. 513C 916 221 4817 MAY -28-1997 16:08 e 1 916 224 4817 P.01i01 / STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT TITLE SEARCH - REQUESTED -ON 05-28-97 AT 14:46 BY CDPHARL DECAL: LAR4612ANUF: GOGDENWEST HM rRADENAM: GOLDEN WEST MODEL: CC607RS MANUFAC'T'URED ON: 03-08-90 FIRST :OLD ON: 02-07-91 RATING YR: NONE ORZGT,NAL PRICE CLASS: ANZ REG EXPIRATION DATE: NONE ILT EXEMPTION: NONE USE:: MH SNGL-E FAMILY TAX TYPE: LOCAL PROPERTY SERIAL NUMBER(S) GW6CALCC8149A GW6CALCC8149B LABEL/7NSIGNTA N(IMSF.R(S) LENGTH WIDTH RAD530288 720 168 RAD530289 720 G� � 168 RECORD GOND: 46 PPF EXEMPT—MUST REAPPLY FOR STATUS IF R/0 CHANGE REGISTERED OWNER: GRAF MODELLE/ GAST REG CARD: OS703-94 DAVTIi A JTRS 2623 PHAETON DR OROVILLE CA 95966 e. a .�y "Y"" M•'t 4 l.._. ti.�.:w ;.. s 4<.: .w .l. e...�♦ . ,. i T;OCATIO T ADDRE55: 2623 PHAE -, ', DR `,,- K. o.ay;., •.,., . �, ...4. �.,.�;, rr-:.:s,s »1, , >..»* ...r,,. ,,,» a,'1+�. OROVILLE CA 95966 dI ., BUT'T'E -COUNTY,.. . , .• ., .�;I. LEGAL OWNkR: FST INTERSTATE BK 1 'LAST TITLE -.-05-03-94 / 3440 WALNUT AVE l /'FREMONT CA 945.3.8 3!„ LIEN PERFECTED ON: 03-2.8-94 AT: 10:10.:00 ***** END OF TITLE SEARCH ***** ���1•,.�4�{k,.yA°,y.`�li`k+' �tii'.S•�E+�;�J,�Ai4.•I'K.s',W�'- �YYX Y.t{1iJL,?A4d N'•h`P'•!'4;4d1�ifYA i�.lr �i1� H.!'W¢'a1:�rFii•��'1'�r.W:l�jt'ipM1+VF'i�n78F.S1�f.K�`we�+Yri'r'M'�{ wkir^tNlAtioiA�i�k�a�"�,b}�tnyA74.n�if7�*%r•'N;1 f,{f�il�,�G • ' 111r it . r TOTAL P.01 'r JUL-050-97 WE 1-1 : 25 AN to iF..THERN AF•F•RAI'SAL _'=;EF.VI 91 - 534 7274 kf:con Itsr,E��1BCO1Pl�$ Trder,N acro .s Q„ . »1e34 -;, Loan No. WHEN RECORDED MAIL. TO: MODELLE GRAF 243 MISSION OLIVE ROAD OROVILLE, CA 95966 VAL)_,FY TITZ.E. 91.03667 91-003667 Recorded Official Records County of Butte Candace J. Grubbs Recorder 11:S3am 29 -Jan -91 Rec Fee DOC Check r r 7.00 15.40 22.40 X 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $15-40 ii Gonputed on the corislderellon or value of property conveyed. OR SAME AS ABOVE FANSIFFIt _ Corrywted on the c«,etdoratlorl or value Tose Ions or ancumbrances a PA)A re"hing at tiros of We. The underSJn ed_Glantof_dgrfareS '� signature of Dociaranl or Agent determining tax - Firm Name 1 GRANT DEED: 36-78-28 y I FOR A VALUABLE CONSIDERATION, receipt of whlch Is hereby acknowledged. j KENNETH H. HERMANSON and FLORENCE E. HERMANSON, husband and wife hereby GRANT(S) to MODELLE GRAF, an unmarried woman the real property in the County of as BUTTE . State of California, described ********SEE ATTACHED LEGAL DESCRIPTION****** Dated -lanwiry 1.6,1_$9.1 I STATE OF CALIFORNIA )yg COUNTY OF Sant, Barbara ) On January 19, 1991 before me, the undersigned. a Notary Public In and for said State, personally appeared Kennerrh_ H. Hermanson personally known to me (a Proved to me on the basic 0f satisfactory. evidence) t0 be the person(s) whose name(s) Ware subscribed to the with Instrument and acknowledged to me that he/shelthey executed the same. WITNESS my hand and official seal. D r i RENNET 7.ANSO f I OFFICIAL MAL sOPHtE SHIMIZU * Notary PuwH colfrornia SANTA BARBARA COUNtY My Commfwn Fxpllet Aprl 6.1994 . tV SCHEDULE 'C Order No. 1-178353 THE LAND REFERRED TO HEREIN IS DESCRIBED AS' -FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF -CALIFORNIA, ON OCTOBER 26, 1978, IN BOOK 66 OF MAPS, AT PAGE(S) 48 AND 49. PARCEL II: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, VEHICULAR AND PEDESTRIAN MOVEMENT, PARK, RECREATIONAL AND FOR OTHER PURPOSES OVER THE COMMON AREAS ALL AS SET FORTH IN THE DECLARATION OF RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477, OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20, 1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL 17, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12040; AND APRIL 23, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768. AP NO. 036-780-028 in Exec Comp AL ' RESIDENTIAL i "2796-91B MODELLE GRAF Phaeton Drive J36 - g/ 9 JOB FINALE Signature J=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements POOLS (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer; Location -Test -Fall -C/O Concrete i 4. Water; Location -Test -Easement Needed (Sketch, 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete ` 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Elec.; Pool Lighting; 15 volts-GFI 7. Well Clearance & Disconnect 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 t MISCELLANEOUS Date DECKS, COVERS RPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; r Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support - Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation - 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------- ------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -- 18. D.W.V_ Test -Fittings & Anchor -Nail Protection - 19. Shower Pan: Test, First Floor -Tub Access --------- -------------------------------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------ Date ------------.Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- -------- --- --------------------------- ------------- 24. Size Boxes & No. of Conductors -Stapled ------ -- ------ -- -------------------------- --------- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------- - - ----- ------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---------------------------------------------------- ------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------------------------------------------------------------------------- ---- 29. --------------- ---- 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------------------------------------------- 31. -------------------------- -31. Equip_ Clearances Pane Is- Motors_MecInEquip_ ---------- ------------------ 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------- - --------------------------------------- 33. Smoke Detector ---------------------- --------------------------------- ------------------------------------- --- Date Card B -t Date Card B-1 ---------------- --- ---------------------- --- -------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support ------ ---------------------------------------------------------------- 35. Vent Fan. Exhaust above insulation -------------- ------------------------ ------ - -- - --- - ------------------ - --- 36. Condensate Drain & Overflow: Size & Grade -- ------- - ------------------------------------ .------ -- -------------- 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- -------------------------- ---------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------- ---- -------------------------------- Date Card B-1 Date Card B_1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ir's 39. Sils. Proper Material & Anchors_ _ 40. Walls Studs -Nailing. Spacing & Bracing- Plates -Sound ---------- -------------------------------------------------- ---------- 41. Bearing Walls over Girders & Floor Nailing --------------- - --------- ----------------------------------------------------- 42. Draft Stop m Walls (rat proof) ---------------------- ------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------- ----------------------------------------- ------ 44. Headers & Beam -Size & Bearing Ingle & Duplex) Date FRAMING (Continued) - 45_ Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rtng. 47. Fireplace Ties or Type A p yp Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & ;Openings ___ 52. Ext. Doors -One 3' -Check 'Garage -3rd Story, 2 Exits ------------ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---- --54-.-plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer I 56. Stucco Mesh -Drip Screed Fd. Vents-Underflr. Access 57. -Glazing Area -Glass Protection -Skylights- Plastic ----------- ---- ---- 58_Shear Walls: Nailing=Bolts _ 59. Insulation -Walls -Ceilings ---------------- 60. Infiltration -Walls -Windows ------------------------------- --------------------- --- --------------------------------- Date Card B-1 !Date Card B-1 Date Card B-1 .Date Card B-1 Date FINAL (Plans) OK except ti's i 61. Ext. Steps -Door & Sidelight Protection -Landings 52.- Smoke Detector ------------ ----------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection _...-- -- ---- --------------------- 64. Bedroom Exiting 65. G.F.I.& Bath Fixtures & Tub Access -Spa ----------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stags & Rails ------------------ 68. Fireplace or Stove: Clearances -Hearth --------------------------------- 1 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. Hlf Vents -Clearance -Comb Air-Connector-P.R.V. , In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes ------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl HoleiDoor-Drainage & Wood -Earth Clearance Looked under, Floor ❑ Yes ------------------------ 80. Following instld.: Drive Yes ❑ No: Walks ❑ Yes ❑ No; Planters -0 -Yes ❑ No 81. Stucco: Brown -Finish _ Unit: Disconnect. Electrical, Plumbing - 83. Vents Above Roof; Plb IA liance-Fire lace. -Clearance to - - - - - - -- - - -- - Openings------. 84. Water Well: Disconnect, Electrical. Plumbing -------------- ------------------- -- -- 85. Exterior Elec. Trim; G.F.I, Receptacle -Underground d6. Ventilation Throughout House 87. Glass Protection --- ---------------------------------------------------- 88. Corrections from Previous Inspections ------ ._._.._---------- -- ----------------------------- 89. Gas Test -Meters Tagge& Gas_Electric- - -- ---- -- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------=------- --- Date Card B-1 j Date Card B-1 Date Card B-1 I Date Card B-1 ------- ---------- Date Card B-1 I Date Card B-1 Comments at Final: ------- --------------------------------------------- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS TAO -7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 7/ APPLICATION.AND PERMIT 7) ASSESSOR PARCEL NUMBER 36 78 28 ZONING PAC BUILDING PERMIT OWNER MODELLE GRAF TELEPHONE 533-3477 S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 2623 PHAETON DRIVE OROVILLE ' CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ FilingFee ' $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 74.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2623PHAETON DRIVE OROVILLE Permit tee $ 121.75 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 qas 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 I G I W 10.00ea TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: CARPORT & COVER EXT DECK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR 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. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.M OR ACDNS. ACC. BLDGS. , /zQsgft NEW CONSTRESID,MULTI-OUTNCHCIRCUITS) NON•R ESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS tr\ (SINGLE OUTLET CIR./ Occup(OUTLETS OR FIXTURES Ex. Occu 20050C eAL030 FIXED APPLNS Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st d County in con a uence of the granting of this permit %� Date Signa,Z% of Applicant — 0%&e 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 $ ' occ CONST TYPE - TOTAL FEE $ 121.75 E HAL CUA- PARK scHL FLD PA PD I HD, Is E This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abov for which fees have been paid." () EC R 0 UBLIC WORKS BY III, J Date ZZ PE IT EXPIRES rbate f -E Receipt No. 97078 121.75 WHITE-D.P.W.. YELLOW-A$9Ctr90R, PINK -INSPECTOR. GOLDENROD -APPLICANT Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. . Fire Dept. Other Date By The following data..mus.t_be_s.ubm.i,tted prior to permit issuance: (Circle new-i.tem_not checked above)., 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owne , was advised of above required data by_phone__nail—counter byOW ..date Contractor, designer, owner, was advised of above required data by_phone_ma11 counter by date Plans checked by P71A) —DatePlans approved by Date �_ Sets of plans on hold in Copy—DPW File cabinet --AP folder • dMwwr;.WM�n. ;COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 y PERMIT, -APPLICATION DATA SHEET Permit No. � �/� 1 OWNER �f `� 3C0 — %9 - Z A. P. No. Proposed Building Use 64jRP4a7' 4Nb QUM Building Inspector o Date 12i9cff 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 duplica i licate, signed by preparer of plans........ complete,plan in uplicate riplicate, signed by preparer. of plans .. 1;�- 19- C 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........... .............................. 6. Energy Design yCompliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .::..".............................................. 13. S ho al D'strict fpaid .............. �Y��ees 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. OK Certificate of Workmans Compensation Insurance ........... �` `� 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... �- ,QO 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner.Mail to contractor. Telephone '.317%and 6AOUilCetfice. -153-3 hold for pickup at Deliver w/inspector. Other Applicant % Date `( Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. . Fire Dept. Other Date By The following data..mus.t_be_s.ubm.i,tted prior to permit issuance: (Circle new-i.tem_not checked above)., 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owne , was advised of above required data by_phone__nail—counter byOW ..date Contractor, designer, owner, was advised of above required data by_phone_ma11 counter by date Plans checked by P71A) —DatePlans approved by Date �_ Sets of plans on hold in Copy—DPW File cabinet --AP folder COUNTY OF BUTTE - Department of Public Works 7 County Center•Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "o.wner-builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �� signed an application for a building permit for the proposed work. 3.I ave 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: Name Address Phone Type of Work Signed:` / L4&z zz, • Property Owner 1112 Social Security Nu er 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. �zxr6-4l BUTTE COUNTY BUILCONG DEPARTMENT APPROVED. �ze 6'�)- x -p blefOpt 4r"& E r This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same wI& out written permission from the Department of Public Works, County of Butte. -1 , 6 o COSI VC7=OV S� 2�6 evrmcex b�pqcvrr-o s siia POF owsv )- ocl Gil c - O NOTE. II Maters Is & Workmanship Shall Be in Accorda * #h R ognized Good Practices and of a qu prescri Uniform B ' ' , Plu ed for the Specified use in the bing do Mechanical Codes and, fhe Nati �1ectric Code. �zxr6-4l BUTTE COUNTY BUILCONG DEPARTMENT APPROVED. �ze 6'�)- x -p blefOpt 4r"& E f i Olec PIC U 0 WATe� QS i �e4 This at be of plar sand d � is u^tom! k on job a all time a b make any changes W site tions on same ��► out writhe I perm sion f rcm n the Deped"MW of Put lk WC rks, Co my of 8 Io - AS WI*k -a W hip Sholi ie M �estrdaice �1Jr�otm0uii� N>te Na�iond ping & We. Olt Itfi r GW we is Me Cods "d 9//y I i tos SUM �( OWN TY n SUIUWNG DEPARTMENT APPROVED 11* � `/ v s G i m on Ea -job at %ny changer -ir-torl P'OrMLISSIc'_. Worts unty of Ba . �. 14 i 4 J1 _. T b9 wtai to ae Without t of Publio f s3 � O n7i, if � I n� a_ on Ea -job at %ny changer -ir-torl P'OrMLISSIc'_. Worts unty of Ba . �. 14 i 4 J1 _. T b9 wtai to ae Without t of Publio f s3 � O n7i, if i 1/_n Ti !1 : nn rvr ITZ FRMI CLI - �I'/a" TiG PLYWOOD CC EXT - q�,�q• CTIl x V, j:... , FI- fIZ2.x 12" STAIR STRIMGER- 4S'o.c,.,MAX. -TOP V1EW ,.. H AWDRAIL NOT SHOWN FOR CLARITY. r r 3/S I BOLT Dot ! NG Yn„ �}..' 7 County Center Drive — Orovilte, California 95965 • { Telephone: '' ' MOBILE HOME' Wit. J OR DECK • a F i MAX 48" MTL. FRMU : CUP (EA. DE MAX. 9"MIN. .. , . 4"x4' POST Y. Tw IV . x _� 4 # _ 214' PRESSURE. . 6 DOLTS TREATED 10 PLATE ellw" =REDWOOD ECKIIJ.G GIRDER .. — it •`.. ��' • r�b ' 4"X4'' POST p''M�N. 6 _ lay - 90 �DfQUATE DIAL, ONA L . BRACING'. TYPICAL RESI DEIM4L .97, , ..9 ANo0R,0 C/?c_ COUJY OF BUTTE - DEEAhTMENT OF PUBLI6W �kKS Dot ! NG Yn„ �}..' 7 County Center Drive — Orovilte, California 95965 • { Telephone: '' ' Vlf"3 � 3 ' - I _ PERMIT NO. 522-79P Y 4 �a PERMIT EXPIRES s,'OWNER Warren T. Ambrose owner `t 4, CONTR. r -LOCATION- (A.P. 8-12-28 'i 2646 Monte Vista Ave.,Sp.#28, Orovitle P ' ///J-^/ at l �b� . i I t f ' t 1 j Temp. Power Pole Called PG&E I Temp. Elec. Serv. I "Called PG&E Temp. Gas Serv. Called PG&E JOB t FINALED (Date) } (Signature) F FIRE SPR i-raming x Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES------------------ Elec_ Service Elec. Pedestal op 0 Water Piping ewer Gas Piping BILEHOME INSTALLATION - - - - - - - - • - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DA E\ REMARKS OR CORRECTIONS or N J V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMEN•i OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING back FI wall Soil Piping > s Par ets 1st Floor MaNp Bldg. Restr . m Finish 2nd Floor F tins Window•, 3rd Floor Ste all Siding To out Slab N Roof Sheat Ing Water Piping Piers Roofing ` Sewer Garage Fdn. Vents \ Fixtures Footin s StemwaII Garage Vents Insulation \ Water Htr. Heaters Slab Carport p Footings Prov. for ph sicall'. handicaped Conformance of ex. \ structure Appliances Gas Piping & Test Temp. Gas Slab .' Fina) Sanitation Patio FIRE P ACE Final Footings Footinq ELECTRICAL FIRE SPR i-raming x Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES------------------ Elec_ Service Elec. Pedestal op 0 Water Piping ewer Gas Piping BILEHOME INSTALLATION - - - - - - - - • - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DA E\ REMARKS OR CORRECTIONS or N J V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT '. BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Mailing Address j u� OTelephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address?—(, ql.Plan �.r Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 tyf Repair drainage or vent piping 1.50 � ' A. P. No. g� �� -� �-� Zoning afnIng Water piping 1.50 Each gas water heater or vent 1.50 es SJi Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 �r— Parking Plans Parcel rcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. laps Recd Parce proval J ?Ian Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 5.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home*E Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST (DWELLING ACCBLDGS.CCVP. 41 22Sgft // CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR / BRANCH CIRCUITS) NON-RESID ` BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES BALD; FIXED AP Ex. Occup. (OUTLETS PLISIS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and heweby Land Development Fee $ ]acs -- TOTAL PERMIT FEE aumorize representatives or me vouniy or tsurie to enter upon me above-mentioned property for inspection purposes. X Z< k-7" e5 Date Signature of Perjmjitee or Agent Receipt No. 1 <+ � A_7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. D EC 1OF PU IC WORKS B Date Building permit expires Date 0 f��/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS l 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541�16 — APPLICATION AND PERMIT . BUILDING Owner A /_( SO. FT. OCC. BUILDING VALUATION f �_ __,_.e, .,, ._ _. _ .� Mailing Address 3 % VGd Telephone No. S Contractor Mailing Addres S n A Telephone No. Building Address j 4 a.vQ A. P. No. O -/Z `7 O ZoI g Pia ing FWs, In I FireDept. FireZone Use Permit EOA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P B.I.dg_R+ans— 4d Parc!LAELroval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home Others ❑ zi, - -7 9 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. 21 C Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ���Date 3--27-75- 9' nature of Permitee or Agent Receipt No. /09�7!_-� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace ggL�10�1 Total Valuation 2.00 Permit Fee No. @ PI an Checking Fee &/or Penalty PERMIT FILING FEE Permit Fee 03— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ggL�10�1 $ 2.00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 03— Main service 100 AMP ORSLESS 5.00 S -- Main service EA. ADD -L 100 AMP 2.50 Zy S`lc Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST [DWELLING %ACCBLDGS.CCUP, Y\ / 20sgf t ER NW CONST. NON.RESID. MULTI.OUTL T BRANCH CIRCUITS 12.50ea Ex. OCcuo(OUTLETS OR FIXTURES I ggL�10�1 EX. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 2.00 Permit Fee $ . $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 1� OF PUBLIC WORKS By )-�-� ,.. Date Building permit expires Date ,3-x-7 — 9-6 UP 1---e with Recogn, G69d; Pr' Oices and? of a qul e 06d- r 6'Specifieda use in fher //z vy - g,* I Uniform 6Ein , lumbin5gMacHonkall Co' L Lctinal..FlA. efricell code. % 2-1 7Z-9 The -i Side conte mUill out ; C07' 2-K make any changes or alterations on same without written perminon from the Department of Publif pull". Works, County of S. S ' `/z/..1 ` RESIDENTIAL 36-78-28 160-91MHI j GRAF, Modelle 2623 Phaeton Dr, Oroville Contr:, Blakes Affordable Housing (installation/mh) t•- " JC OFFICE COPY AddressGAS Meter By Date% ELECTRIC � Meter By Date rr 3/ O=Not OX , I Not = Not Ready MOBILE MOBILE HOMES j Date MOBILE HOME UTILITIES (Plans) OK except 1. Zoning Requirements -Setbacks -Easements J 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE ME INSTALLATION Plans OK except #'s oni equirements-Setbacks Easements ooti Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector _4-SIectr' ' ; MH Test -Crossovers -Breakers -Clearances rain• H Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD ADDroval Electricity Tagged 1Q Cert. of Occupancy Date] Card Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = NoyOK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. "D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25, Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be mac dingle & Duplex) Date FRAMING (Continued) 1 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 & jOpenings 52. Ext. Doors -One 3'-CheckIGarage-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 l 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel:i 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 Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks O Yes O No; Planters 0 Yes No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection I 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance; Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 l Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE w. DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 /_ PERMIT N0. Z- d Addressor location of mobilehome C- V Z _� � �--M'-j ®� Owner's name r, i Owner's address StC 4 47/C Insignia or hud number UC 4 7 4; 2D Z SG Z �S Manufacturer's name Serial number of V.I.N. �n N t �1�, C�G,�`7R �,�ear of manufacture (Official Approving Installation 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO j 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 % . © _ ' APPLICATION AND PERMIT ` "L ASSESSOR PARCEL NUMBER _ ZONING PAC BUILDING PERMIT owN R Modelle Graf TELEPHONE SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 2623 Phaeton Dr., Oroville, CA 95965 CONTRACTOR'S NAME Blake's Affordable Housing p K CONTRACTOR'S MAILING Blvd., Oroville CA 95965 Oroville, Fireplace CONSTRUCTION LENDER UNKNOWN- Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .00 Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2623 Phaeton Dr., Oroville Permit fee $ 25.00 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 28 Carriage Manor Each pas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF ❑ Duplex[] Mobilehomeffi Other Mobile Home S G W 10.00e SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationU Other ❑ Permit Fee $ Describe work: MHI reinstall MH on existing site Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V R Main service 100 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professions_ Code and /rmy license is in fo�rejQ nd effect. License No. �� � L Classification f I —0 ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.N) OR ADDNS. ( ACC. BLDGS. I NEW CONSTR,'ULTI-OUTLET NON.RESID ' BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. Ex. Occup. OUTLETS (RESID IRE A.) , 2ftscIft 2.50 ea 120 BAL SOC ALO 30 1 2.00 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) Temporary service Mobile Home Facilities Misc. Wiring g 10.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a 9jitcrificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 49-00 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 labs 'les, judgments, costs, a expenses which may in any way accrue against sai County in c qu e f the granting of this pe mit. Energy Inspection Fee occ CONST TYPE TOTAL FEE HAZ CUA PARK sc $ . 00 Pn� P HD Issu V Date %4V This permit is nereby issued under the applicable pr ovi- sions or the Butte County Code and/or resolutions to do Signature of Applica r Owner Contractor Agenr work indicated above for which fees have been paid.' An OSHA permit is required for excavations over -5' " eep and demolition or construct- ion of structures over 3 stories in height. DIRE OR P ELIC WORKS Receipt No. 83983/$70.00 BY Date WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date �r"(`-', ��,���i''� f'%'^*��,�T,.h::�•�,r�' -gra ����7.Nori�1'I:�aFi`!.i•'�r`�'`..n,+�^t �rrr,..-.rte- COUNTY OF BUTTE-`DEPARTM,I�iNT WPUBLIC WORKS - BUILDING DIVISION, 1 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 Z u ,PERMIT APPLICATION DATA SHEET AA Permit No. OWNER R -% A. P. No. 6 7 a" 2 Proposed Building Use Building Inspector „S2=S 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 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... SchoRl Di trict fees paid ............... Sanitation approval from �o 1 P`' - ' Health Department –2 Z City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ..... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 24. Recorded copy of Agricultural Acknowledgment Statement ......... I:f� 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Dl- Telephone 6-13 "333 1� and hold for pickup at 64–'0 office. Deliver w/inspector. Other Applicant ate J Copy of Haz-Mat corm sent - Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to pe 1. Index permit for above items No. - 2. Additional items required: uance: (Circle new item not checked above). e r, Contractor, designer, owner, was advised of above required data by IV phone--nail—counter by0a,�..date. Contractor, designer, owner, -was advised of above required data by—phone mail—counter by date Plans checked by Date P1,ris approved by ut Date! Sets of plans on hold in File cabinet N -,/AP folder Copy—DPW —p va: �'"-'- a...s..�.;r- S/, ' s _ r z �! 7✓rJ.w..4.;r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One'Form per Building) A.P. Number Building Department No. School Districtcxp &4r--e,,-ra City D County r�Z Jurisdiction 1 P,ropierty., Owner Project Location/Address Subdivision Lot Number90 y Residential Development: Sq. Footage .liCO # of Living MHI .Addition AGroup R) Units Commercial/Industrial: a "Sq. Footage :i;N.ew Addition ( Including Exterior r Roofed . Areas) Build p<liepax-tment Representative Date .� (Floor Plans reviewed by School District Personnel) JDi 10� ' ict DId No. � y�� c School District certifies that (Apj5lic (Phone Number) ( t eeet� ,Ad ess ) (City) (State) (Zip Code) has complied with the requ�e e is of Resolution N`o. 40.6' i 10 fV (O V by the ayment o $ representing square feet. School District Rerpresenta;trve Date PAID BY CHECK NO.�. REMAR ., Ai BANK NO_IrAl PAID BY CASH ; ' C � white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) PERMIT NO: 8-91 Lake Oroville Area Public Utility District 1960 Elgin street OROVILLE, CALIFORNIA 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: January 23, 1991 Applicant: MODELLE GRAF (Blake Affordable Housing) 2175 Feather River Blvd., Oroville Applicant Address: Applicant Phone No.: 534-8336 Property Location(s): 2623 Phaeton Drive, Oroville, CA 95966 Carriage Manor Subd., Lot 28 A. P. No. (s): 36-78-28 Fees due: Application for service ALL FEES PAID LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: MOBILEROME SUPPORT DATA r If other than single wide Mobilehome Mfr. % P / 1Er furnish Setup Model Noyear f92h— Width (ft.) Box Length�_(ft.) Tagalong .or Expando Size 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) Ell - Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)P� Concrete block.2.t_ Other (Spec,ify)' R1, 10 �-.i . w )L -% Pier Footing,Sizes and Locations,,.; SINGLE -WIDE MULTI -WIDE Main Beams j, �e 2 — — -- '`— — — —— — — — il n� . Main Beams — — — — — — — - i 1 1in t' i) i ,•�* / f —. _ _ — — — — — — 71.1nae Tag or Triple I 1,. Line 1 Line 1 Piers: Line 1 Openings: Size -Min. XlblSize-Min. ------------------ Spacing -Max. -.--} - Each Side of Openings From Endo -Max.-"----- With Width Over --------- Line 2 Piers: 4 Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ tZ „x-76 n Size -Min.------------------ 1 7 _ ux u 'Spacing -Max. --------- ,_ „ Spacing -Max- --------------- ,- „ From Ends -Max ----I--- '- " IFrom Ends -Max.------------- (- Line 3 Roof Loads: tJ�Q 36_0 'D �O) _ Q )) Size -Min. ---``-ii--____ „x I. ho „v 150 „ ! ,k ti /J11f nx u g uxA a nx a „x n Location (From,Front) _� , +.�• n Q- Line 4 rlerB: - - Line 5 Piers: (Under ftaring Wn1te Unty) Size -Min ---------- ik -Mi n.------------------ ax.---------- From size S ac inB-M----- Spacing -Max.------- -------- From Ende-Msx.- ------ ,_ „ From Ende-Max-------------- , Line 5 Roof loads: SSce-Min.----- -=-.-; "x ,k ,k a nx o ,k nx a „x n nx 0. Location (From Front) IBWTMI CWNTV GUIUSN0 UPM APPROVED.. 5. What is the mobilehome electrical rating? --------------- Amps . 6. What is the BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS l Amps' 7 County•Center Drive, Oroville, CA -gas What is the type o.f ------------------- Natural LPG a. PHONE: 538=7541. gas service? 11. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: /'.r"/���Z-2�. f 2.. Installer's Name:���yf�/2� (ft.Y. * 1.2. What is the mobilehome gas demand? ---------------------- — BTU) 3. Is the site currently under permit? Yes Fx] No .� nat WW o ;Y Ithan 50 ft. on LPG.) (If yes, furnish permit number ) OR Is the site an existing site?.. Yes ® No F1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? YesUCY No u. (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps . 6. What is the mobilehome site service rating? ------------:- l 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 D No (If yes, identify the load and'size: .(Load) (Amps) 9. What is the mobilehome site ,pipe- size?._ _------i---- (in.) 10. -gas What is the type o.f ------------------- Natural LPG a. gas service? 11. What is the gas pipe length from meter or tank to the f mobilehome?--------------------------------------------- GJ (ft.Y. * 1.2. What is the mobilehome gas demand? ---------------------- — BTU) *(This information not required if pipe length less than 6 ft. on nat WW o ;Y Ithan 50 ft. on LPG.) A 9{--02396 Return toy" DPW - AGRICULTURAL STAMICNT OF ACKNOUq2DGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement `be recorded prior to issuance of a building permit. The property described herein is adjacent 91=002396 Rec Fee - . 7.,00 to land or included within an area zoned - Cash .7.00 for agricultural purposes, and residents `-Recorded of this property may be subject to. incon- Official Records , veniences or discomfort arising from the County.= of use of agricultural chemicals, including, Butte f but not limited to herbicides, pesticides, ; Candace J. Grubbs and fertilizers; and from the pursuit Recorder. of agricultural operations including, 11:41am 18 -Jan -91 XX ''2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that neal :property:,., situate in.the Country of Butte, State of California, described as follows: SEE LEGAL DESCRIPTION ATTACHED Date: I -a- :Fl PROPERTY OWNERS: i State of CALIFORNIA) On this the 17TH day of ,JANUARY , 19_41 before me, the SS. undersigned Notary Public, personally appeared County of BUTTE ) OFFICIAL SEAL JESSIE HART NOTARY PUBLIC - CALIFCINIA COUNTY OF BUTTE Comm. Exp. August 26, 1991 MODELLE GRAF Personally known to me. XJ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) IS subscribed to the within instrument and acknowledged that SHE executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. c_C3&- 29 -�--�� Notary ublic � �yy.�. ��p r, F• 1 i ORDER NO. ?,Bi1-117830 a 3 ` a ? . DESCRIPTION ALL THAT CERTAIN REAL PROPERTYSITUATE AS AFOLLOWS• THE STATE' OF CALIFORNIA, COUNTY OF BUTTE, DES . PARCEL I' LOT 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE BOOK 66TOFOMAPST E, STATE OF AT PAGE(S) 48CAND 49NIA, ON OCTOBER 26, 1978, SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477, OFFICIAL RECORDS, AND AMENDED PAGE BY INSTRUMENTS RECORDED NOVEMBER 20►19860' UNDER IN OOBUTTE "COUNTY 354, OFFICIAL RECORDS; APRIL 17, , RECORDER'S SERIAL NO. 86-12040; AND APRIL 23, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768. PARCEL II' NON—EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, VEHICULAR AND PEDESTRIAN MOVEMENT, PARK, RECREATIONAL AND FOR OTHER PURPOSES OVER THE COMMON AREAS ALL AS SET FORTH IN THE DECLARATION OF RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477, OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20, 1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL APRIL17,.1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12040; 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL;NO`'ti:�86-12768. `' r C Y r� i1 PAGE 4 END OF DOCUMENT ti 4: 1 4 le RESIDENTIAL ► 36-78-28 1366-91B GRAF,*Modelle 2623 Phaeton A, Oroville Cl 0 A J=OK O=Not OK NotNo Ready I MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / PV'ft. / /"Nat. or/ /"L"ft./ /"LPG . 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �1 MISCELLANEOUS Date DECKS, -COVERS CARPORTS, GARAGES, Plans OK except #'s Zoning Requirements -Setbacks -Easements ,-Z-F-ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec ric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 210 r Card B-1tAjr Date r and B-1 Date -L- Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 11 O = Not•,OK = Not Applicable RESIDENTIAL (� '='Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation . . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral ID Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size -& Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing ,.y jingle & Duplex) Date FRAMING (Continued) I 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 Gara6e-3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection,Skylights-Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Dated Card B-1 Date Card B-1 Date! Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 1 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 Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive ❑ Yes 0 No; Walks 11 Yes O No; Planters ❑ Yes O No i 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89, Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I (NOTE: An entry must be made each time you visit job site) 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 036-780-028 ZONING PAC BUILDING PERMIT OWNER 1e NR,?'SM TELEPHONE 533-3477 SO. FT. OCC. - BUILDING VALUATION 240 0 1,680 OWMAILING 2623 Phaeton Drive Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 28,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2623 Phaeton Drive Oroville Permit fee $ 53.00 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 qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea' TYPE OF WORK New L" i" Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: new dPrkS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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. rLr�JEX. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.M NEW CONST. ( ACC. BLDGS. OR ADONS. �2Osq ft NEW U ILET NON.RES'.. BRANCH CRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES z0 ®e0e 5ALO 30 OCCUp. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �virin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject. to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t sal ounty in conse nce of the granting of this permit. Xal/Date O Signature of Applicant — Owner 0 Contractor ❑ AgentEl 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 $ occ ( CONST TV E . (f TOTAL FEE $ 53.00 ' HAz. I CUA _ I PARK I SCHL I FLD CDF PAR _ PD I HD. ISSUE: ._. This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date—S"00—fir S �E PE I EXPIRES Date ' Receipt No. 89073-53.00 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ...,,.rra^.-r�.:w.,r-►.yi_�r+-v'Hrr�M-'T':v"'fv`,r"'cvs'Fs-"'v"dc:`T`F%'Rh'yyf�yf,�"'ftR�.,17-;'..... , ... .l . . COUNTY OF BUTTE - DEPARTMENT, OR PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -OROVILL E,( yALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET O/ X�elle, Permit No. /� 636-7B4-0�;POWNERA. P. No. Proposed Building Use fJ ��C } Building Inspector 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 1. All items have been submitted . ........................ .... i.... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ................................... 12. Park fees paid ..................................................... -d�13. School District fees paid .............. 4. Sanitation approval from ZCW l7CI0 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 1 17. Planning approval for (A) Use: R , `(B), Parking: ...... 18. Improvements may be required. Contact LarjdDevelopment Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required...Pre-Inspec. request to cBuilding Inspector (Date* 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner. ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ............................ . .... . 26. � 27. When y u issue the permit, process as follows: 1 Mail to owner. Mail to contractor. ` t Telephone 15-33-5 and hold for pickup ad O office. Deliver'w/inspector. I V Other i •' ^ � .�•°"' .jo r~ Applicant Date sj Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent . Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required':_ Contractor, designer, owner, was advised of above required data by_phone_malI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date :5 -- Sets of plans on hold in File cabinet AP folder Copy—DPW V COUNTY OF BUTTE - Department of Public Works 7 County Center -Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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 majg labor and materials for construction of the proposed property improvement es or no) 2. I have have not) signed an application for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address I 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:, Name Address Phone Type of Work Signed: Property Owner Social Security Nu er _ 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. V %P U a <. Thts set OfPIMs enr. an thejob at 'r,' } W chsngef, tten par=ssic-�. 'Work!, star of Bay.a. Y c �b l T be f'al to without of Publia O� v� i\ -H f P174jfVdA✓ 1;93 V90 - l( 4 T6"MNY, " `- DFL KII,ICi � GIRDEIZ J Zo Tx 12" STAIR STRIIJGER. I;S - f)P \1117w' HAI,IDRAIL NOT cHDWtil FOR CLARITY. t A[\, "3W, BOLT i MOBILE EIDME OR VELD f MAX. MR. FRMTIC --- CLIP (ER. C) DE) , 4"x (o JL 4"x -l" POST 2"X 12" — #21)Fl.— --- (V.) r�1If1. DOLTS PRL - (JA, - PIE 1, 'Y.1.?' MIN.!(; PWAL COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: lr�r - � � � :� _ ---� _� *�_.-� •--,,-•�- - -'- � � - j 2 �! � �sr`.iar►, ; nc� Foe C ie-s � � r ��od'-� ��Fi Sy + r a O 01 C. �• F a �,t� . ,� V r r 2.x6 ° c� 2 OvEQ+IfM� 2,K6 J,�MAJIII 4 Y N� Ii O i.LNG ic:e..r p26U 1 nrE ' hI 2 _ f . :,t d/ 1. n r� , , ' /YA o 8 IL ` I r.1 NGC'fIDU � i •� SP `. , � �- sts 4 s _• 3 It ATrATC HE0 Tb 1) w Top rail•to be 36 in. higk w tai. intermediate rails to be not ove r9in. apart .e�s- �-- ; .__ - i jr Prm, l of eow/PT, spacc-k 6) it s� FpLU/ pr. s�ruQC_f:VS, )-A-W. y2` 12 x s „cap, S C ' ��! f 5 sT?W c)A;s2o DE-c c coK)STV-u eTZW i1. - ►& roe c DETN L F-,T>-ACH 6-D . BUTTE COUNTY Max, € DEPARTMENT -� Min. Ain BUILDING Run meaS.W-CId too to too; P P ROV ED W fila:. tok�rdf aCO between y WOWcTi 5mah'. `z./nun. harAr (� z 3q s�- 39'A bout TG C, nas vn s i t lanacmcr A- to 8"MLtA pol ' Ft LG: CC, pY 05 -1 /L 1�(20AI7' OUD eu(r' - �o5i C" gip. � I Top.- rail to be 3�6 in. high W`t;�� intermediate rails to be not I se'c SfiANAp Dmwc9i6'—dpact i I W Z Max R!" --2L I y n. Run Run kirgeat ssiai,W h"Qv'(c, lap-J*s, - - V��deo-law-e Pe4tw 3w(c' m I M. scope F04 I n' P rcOOF -r-7 z :12 US& (ow SLOP16- &PPUCPT7WJ Z laLpo )V Ftlff UNC) ,Foe Le -6 TK, -.cm 4 1 N IS 9 0c 2otqoP PER, 3c0&kLc- Y11f 'BUTTE COUNTY 'BUILOING DEPAWRTWIEN OV APPR wim UM 5 kA T—' I 3 real to without of Pub1c 1 - 1 3T bs U'- l7 /1 r�� v �o MOBILEHOME SUPPORT DATA If other than single widest "lobilehome Mfr. / furnish Setup Model No. Year Width 21, (ft.) Box Length I (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade.El 2. Other (specify) SUPPORTS (check one) Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULT.1-WIDE Liar— I Line 1 Line e ® Main Beams Line I Line 3 Main Beams ® m _ Line Tag or Triple �. Line 1 Line 1 Piers: Line 1 OpeninF,e: Size -Min. ------------------ "x Size -Min. ------------ n Spacing -Max. --------- _ o Each Side of Openings 18 From Ends -Max. ------- With Width Over"""-_"-' ,- Line 3 Piers: (Under Bearing Wall only) Line 2 Piers. Size -Min - ------------------ „x u Size -Min - --- -- t,2 ux-5v n Spacing -Max. --------- Spacing -Max.--------------- 1_ u �_ " From Ends -Max.------- '- From Enda-Max.------- -- 1- 11 Line 3 Roof Loads:�7'®� b--0 1��® k rr „ ,/� ,1 • „ I Size-Min . ------------ rrx.. " x', L ./ Location (From Front) Line 4 Piers: Line__5 Piers: (Under Bearing Wa ' Un y Size. -Min. ------------ Size -Min.------------------ Ifx n Ik n Spacing -Max ---------------- 1_ u From Ends -Max.------- '_ 11 From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------,Ix „ Ix x „ • Location (From Frons) 9UTTE COUNTY a04PROVED -MEL,Ata .::..., ,; ....: ,. :. ... _... IAN ��.,..-....W..::..........._ ...,j.._.e _ I I vilslous BY I 10/08/96 YMIa t_ g N —RAL NQTES: I 2 - 3/8' x 1' BOLTSMD FIELD DRILL HOLES REFERENCE: CALIFORNIAAFURNIA CODE OF REGULATIONS. TITLE 25 AND U.B.C. 1994 EDITION. 1 1 /06/96 OPTION OF 4 - 4114 TE)(STS COACH C 1. DESIGN LOAIDS: OR J BEAM LATERAL. LIVE LOAD SEISMIC COC VERTICAL LIVE WAD 3' x 3' SIZE ROOF FLAOR WIND EXPOSURE ZONE 1/ 'x2'DE PLATE 30 7o�h B ANGLE 3' WIDE IDE40 4 SINGLE. W o 49 pill 80 mph C 4 DOUBLE WIDE 30 IJ(IB77NG woHua ®1131INo woBl18 4 - 1/2' SEISMIC C EOE E(I&nNG MC1HIl� ACEI BB'Aws X OACH BLAN cN B>RAws BOLTS PIER 2. TttE DF.SIGtWI LOADS SHA1J BE CONSISTENT WITH ROOF LIVE LOAD, WIND WAD. AND SEISMIC ZONE AS o ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIC LOCAL AREA z g 3. ALL FOOTINGS ARE TO BE SUPPORTED BY FIRM UNSATURATED, UNDISTURBED COHESIVE SOIL FOOTINGS ARE DESIGNED FOR IOQO PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE WITH LOCAL 901- <fii to CONDITIONS. r� I q. CONCRETE: 3000 PSI AT 28 DAYS AS TESTED AND MANUFACTURED BY STARLITE WEIGHT CONCRETE. . TYPICAL BEAM -� CONNECTIONS Not to SCOie 5. STRUCTURAL STEEL: e. SHALL CONFORM TO ASTM A36 F, = 36 KSI MINIMU�1. b. SHALL BE FABRICATED ACCORDING TO A1SC SPECIFICATIONS. C. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: i. ELECTRODES: E70 ii. PLATES: ASTM A36 Gn ' ANCHOR BOLTS: ASTM A307 r � SAE GRS=ASTM A449=ASTM /i325 � � iv. THREADED COLD DRAWN LOW CARBON WELDABLE � V, IHRE? i?EU ROD: 1 IVTS INCLUDING NAILS 1k SCREWS ETC. ARE TO BE PROTECTIVE COATED: � COACH I BEAM d. ALL METALCOMPCNE -- - 3' k 3' PLATE 6. THE PIER AND RIDGE BEAM SUPFK)RT ASSEMBLIES SHALL BE COATED WITH S1(EPMAN WILLIAMS E61 -RC2 OR APPROVED EQUIVALENT AND SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND CONSULTING - SERVICES i(CTC) FOR THE FOLLOWING LOADS: 4 -'3/8' �. LATERAL: 17001bs. MAX MAX 'TUBE HEIGHT BOLTS b. VERTICAL: 130001ba.MAX 8' SHORT TUBE E INC MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR TUB PLAC 1,®' LONG " 2 DIA 7. THIS,FOUNDATION IS FOR _ � STI) PIPE CROSS JOIINTS. � O 4 -BOL BS O - w 3/16' PLATE v a TIGHTEN S. T1iIS FOUD�DARON PLAN IS DESIGNED BE CONS"IRUCTEDON A FAIRLY LEVEL SIT WITH NO EXISTING SOIL TO 180 CLAMP PROBLEMIS, IF SETTLEMENT OCCURS DUE TO POOR SOIL SEE NOTE i L IN -POUNDS 8la9N1C PIERS & PRECAST TORQUE 9. PRECAST CONCRETE PADS SHALL BE PLACED ON LEVEL t'tiDIS7URBED SOIL. MSHIC PIERS � & PRECAST CONCRETE PADS 3/16' PLATE LEGS CONCRETE PADS 3/4' THREADED TYP OF -4 l0. PAD ORIENTATION MUST BE AS SHOWN IN DRAWING, THIS SHEET. ROD Q OUTILINC 11; IN AREAIS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOMES StiA1.L. BE OUTLINE [ OP MOIBILE r� Hop1 COACH READJUSTED WHEN D.S. EXCEEDS 114", OR WHEN IT WILL ADVERSELY AFFECT THE USE OF THE OF m COILSACH aD — 5/16' PLATE: MANIIFAIC'TUREDHOME. -- 5/8' X 11/4' BOLT DOUBLE 1YIT)E TYPICAL SINGLE NIDE TYPICAL WITH HARDENED WASHER ' �-12' Or 14' —•j 12. THIS SYSiTEM 1S ADAPTABLE TO STANDARD HOLIAW MA-SONRY BLOCK PIERS. ' 29'. OR 213' SEISMIC PIER Not to stole PLAN, CP - SEISMIC PIER 41 - PATENT PENDING – - SINGLE WIDE . MOBILE COACH ' COACH LIENGTH NOTE: • . r – COACH (BILE ale: 1" = 10' 1180. IN-POUNDS,ISEDUIVALENT T❑ 15 f1 -POUNDS L,E WIDE � Sc i, MAXIMUM LENGTH OF SINOL.F W[DE COACH - 68 FEET. „ r .v -10 LENGTH O ACii _ TO FEET. l:- ,NOTE ACING 2. MAXIMUM LE F gOUi1i C WiUE i t5 STANDARD,,PIE FOOTING SP NOTE: PER MOBILE HOME MANUFACTURER'S; AN TRIPLE WIDE UNITS, SUBMIT 8TA1,1,AT]pN ':MANUAL. 3. FOR TRIIPLE WIDE GOACtiES, P.7WOW SAME PLACEMENT PATTERN AS SHOWN ON THE DOUBLE WIDE MOBILE FOR MORE THAN IN 1 LAYOUT TO THARP & ASSOC, FOR APPROVAL CONAICURAT.'ON SHOWN IS THE MINIMUM COACH. En • STANDARD PIER & FOOTING SPACING NU'MHER 0'1 PADS REQUIRED. �i PER MOBILE HOME MANUFACTURER'S q FOR AN'Y COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE, THE PIER AND PAD INSTALLATION A1,1)BILE MANUAL P 's LAYOUIF SHALL BE REVIEWED AND APPROVED BY DONALD M. SHARP do ASSOCIATES. CONFIGURATION NUMBER PADS TOWN IS THE MINIMUM BEAM SIZLE NOTES 1. SPACINOG SHOWN ON THIS PLAN ARE'FOR COACHES WITH 10„ AND 12" BEAMS. 2. ANY 8" BEAM IS NOT TO CANTILEVER MORE THAN 6.0' ON EACH END OF UNIT AND SPACING OF SEISMIC PIERS CAN NOT EXCEED 13.5'. z 0 ,wvsal+aOw►4 falTh4s�. rte.. s+vtw. u r1EAltH AND SAFETr CCA Sill !Wl � ® � - 12 SG IN OVERSIZE FOR Wlpl'lNG /l t— AND OR CORNER BREWAIM A P P R O B" SUll TO C^oRECT$011-6 NOTED 00 00 ►� -rpronal doe, .,c•' oythcnxe et apPro•.• c++Y or.,iasmn c•. G.. ® U. 'ran etq, n•.+•.r••a• of apol,cobie j"f 10..i. 1 INSERT FCR ShTc cl �c rc „o' Z N 5/fl' r I]/A' N.B.2 4 r Z wq C�" , [�partrrxnt o!;}4cvs,n;.' and Commvtu+�i ElereioVTEM: F-� M�1 SEISMIC PIER AND AD O PRECAST CONCRETE P plyly���, rnpES ti1v STANDARDS 00 111714u By - Dote C , I. •.: Q�pfES.Si __Ldoe. +40.-g `_•�i�`----------- ���� �•T �Fy L E Y A T I D I d G� 5,B' A 1 9,6' FLANGE '�►+w PtffV� N. .OYAI F.JE�� .. - � ®!ti! � -" STAINLESS STEEL p 09/10/96 - NO -T �❑ SEWS- .} a' ,. '�` ANCHOR INSERT " 3.5 EXP. 313117 ' u_' �' As Shown T T NOTE , < " THE FOUNDATION S'Y_SiEM, IS S FE FOR-AINSTALLATfON ,,,_4,, ,,,F j IN FLOOD PLAINS UPON EVIEw/*QND A'PROVAL BY q CIVOL •y�� ' I Drawn YMD THARP 8 ASSOC. cl PRECAST FOUNDATION PAD;{ ` job 95-36 SCALE, 1' .SINAL _ u RENFWAL OF } ~-SF at 1 Sheets STATE SUB AL 30 -Z1 AR_-.. .n.-..-.--m.+� .n'rw..•-.w--.,�..-.....„.,-.-........-«p+,^.^^-"..S...a....>-.y....s+m'm+ ........-rw. , I , -.rc .Fm. a n.......... - __.. ..:-_.-.m.-.�.... - --.- .- .. ,... mop 2oo—oz$ .. -T- _ ____ ___... .�.�.--------w^..-..-_-.-^ ... ,. . :.. .,;. , i F _'_' .."."""r.",-""7- it , ,;,, , .. ,,�i I