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HomeMy WebLinkAbout079-200-072Warren T. Ambrose 2 rou ham Dr. -v-ip-0-23 Orov it le Permit #566-79P(util: ,MH)*S- y ELEC . 31-Z90 . y GA S' SUPPORT STRUCTURE REQ. A/p COMPACTION TEST REQ. �D contr: Loyd' Elec., Oroville Permit #1710-' E(elec. & ya d light/ MH Contr: Orovil!My L Permit#6361-79IssuedofS� contra ovil-le Trailer Sales, 01ro Pe it #6645-79B(new open deck/MH) PERMIT -#97l 424 - " �LIND, '2665 Brougham =Dr ; `0 vi• 1- 1 e,� Cont:,'Integrity Home's, 'Inc% :MH 'on :Perm .: 498- 642 KATHLEEN ' BOYER; `CHARLES. &�;LIND:,; 2665 BROUGHAM,f,*!OROVII,LF •' : OWNER ' . l A 'PRIVATE"CARPORT, .NEED-CLEARANCEtFROM'iLAKE OROVILLE PUBLIC UTILITY DISTRICT,BEFORE.MHI --� r 1 I f 1 1 1 r 1 n - � ,_,Y, �-, .�- �. �� �� I .. 036-78-0-072 #98-1642 BOYER CHARLES & LIND, KATHLEEN RESIDENTIAL I 2665 BROUGHAM, OROVILLE OWNER PRIVATE CARPORT PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL 4 '''LOCATION t P' 5 ' CHECKED - BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS r VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) -'3 f - l Signature i V=OK 0 = Not OK Not ' = t eady ble NoRMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DEC!W, C$WERS, CARPORTS, GARAGES lana OK except #'s 1. Zoning Requirements - Setbacks - Easements rng Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch V-1202 tings; Soils-Size-DepdiSpacing-Connectors-Steel 3. Sewer, Location -Test -Fall -CM -Concrete 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors hth .-Rf .-Bracin 5. Electricity; L.ocation-Clearances-Gmd-/ /Amp -Concrete Ajun vAwn.; Column nectio I' I -Enclosures 6. Gas; Location -Test -Wrap; / / Uft. / /Nat. or/ / *tL/ /LPG Pr`lffirports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test )emend-Vahe-Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 SCELLANEOUS Date DEC!W, C$WERS, CARPORTS, GARAGES lana OK except #'s rng Requirements -Setbacks -Easements V-1202 tings; Soils-Size-DepdiSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors hth .-Rf .-Bracin Ajun vAwn.; Column nectio I' I -Enclosures Pr`lffirports; Windows -Doors 7. Electric 8. Frng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 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 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. -Pod LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light NIche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = No OK RESIDENTIAL (Single & Duplex) - - Not Ap li bl e pce Not Ready Date UNDERFLOOR (Plans) OK except #'a 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 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 Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-VentsCrippies 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. 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 Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral Q Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support Glass Protection 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 Comments at Final: 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 -RW. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill 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 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-WallsCeilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & 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 Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes [] No/Walks 0 Yes 0 No/Planters 0 Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ����� ASSESSOR PARCEL NUMBER 036-78-0-072 ZONINGP� BUILDING PERMIT OWNER CHARLES BOYER AND I TELEPHONE SO. FT. OCC. BUILDING VALUATION 725 C 9-425 -KATHLEEN -IND OWNERS MAILING ADDRESS 2665 BROUGHAM DR, OROV111F 95966 CONTRAHO tN ME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 11-7.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2665 BROUGHAM, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE _ 913-05 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE CARPORT SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater Water piping g23.00 5.00 Each as water heater or vent 5.00 TYPE OF WORK New ❑g Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PRIVATE CARPORT Gas i in s stem 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home ISI GI W1 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service EOOV OR LESS noon 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License L w 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 46.00NEW CONST. DWELLINGOCCUP. OR ADDNS. ( 8 ACD. B.S. s0 3.5QFT. NON -R S'IDT BRANCI CUTOUTS @7.50 8 OUTLET CIR.OWER APPARATUS Ex. OCCu OUTLET OR FIXTURES BA2L @ I'50 L @ .50 NS Ex. Occup. OUTLJETSPRSD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2f (_ _ , III _ __ Date_ of Applicant - ner ❑ Contractor ❑ Agent Lignature ❑ w An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE l ] - OC5 TOTAL FEE $ 21J HAZ. D. FES IMP FLOOD COF PARCEL � PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By pDe#te PERMIT EXPIRES ON U Dat provisions to do work paid rReceiptNo. 244654. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541CIPE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT - S^ )_ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO..� FT. OCC. BUILDING VALUATION ©roLA L CONTRA AS nUWE A TELEPHONE CtINTRACTOR'S MARLING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Flre IflCe Total Valuation b ARCHITECT OR ENGINEER UCENSE NO. Filing Fee 5 20.00 Permit Fee $ 07 t ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ r7 BUILDING ADDRESS ' Energy Plan Checking Fee S U 4I PERMIT FEE LOT NO. SUBDIVISIONS NAME ARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome ❑ Other C sPEc�r 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 KAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ \ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service z"oorvA OR LES: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60• deep and demolition or construction of structures over 3 stories in height Main Service TO I000A 46.00so NEW CONST. DWELLMIO OCCUP. SO IE OR ADDNs. a Acc, BLDS. 3.50x: TON-R61D. ' BRANCH CIRCUTRCUITS @7.50 PowER APPARATUS a sINGLE oLmET cera Ex. Occup. OUTLET OR FocfvREs ea a'.50 Ex. Occup. ouTLETSAPP °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE i= $ Mobile Home Installation Fee s Energy Inspection Fee $ Occ CONST. TYPE c� TOTAL FEE $ 3 �J HAZ D FEESIMP FLOOD CDF PARCEL Pp HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date re Receipt No. WHITE-D.D.S.-B.D. CANARY-SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed prZ�U rovement : YES>( NO E3- ' CDI HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constrim ion:.:. ADDRESS: CTTy PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to' provide portions of this work, but I have hired the following person to coordinane; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to ppMde the work indicated: NAME ADDRESS PHONE TYPE OF WORK ` SIGNED: PROPERTYOyVNER: SOCIAL SEC NUMBER: DATE: �U`+ -- -" NOTE: -Thu Owner -Builder Verification is required by Sction I993I-179852-57Me; California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner-buildee, you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is x300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions; ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, $(' �, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Informatlon is required by Section 19830 of the California Health and Safety Code. OVER �t�lricui�t�'tsii`". �-W.«A;►�,� tfw."Y����.,Y:� �9:=��-;� .ti fd�t�3 g ,_�J i�w ,.?: .��*44;K � :�1"r'�t "'"t:k"k?+ Y ,+i'l�`,�.ae��L'',�':.-�°n'•�-,�'�`'�'���r�'r CdOUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: Anwei,, ASSESSOR PARC ER: b— C O Proposed Bm ding Use: raAjoig f I M Building Inspector: Date: At time of permit application, t was a vised the following data must be su mitted prior to permit roce sing and/or issuance: -------------- Date Received By WAll iiems have been submitted .----------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown'on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. = ----------------------------------------------------------------------------------------- El 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule: ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ---------------------------------------------------------------- 1*,-*4. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. Ci f Chico plumbing permit. ----------------------------------------------------------- ❑ 16 lot plan and business license appprov 1 from the City of Biggs- ---------------------- 7. Planning approval for (A) Use: J(, ) Parking:- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy).----------------------------- 020. ---------------------------. ❑20. Pre -inspection for required.- Request to Building Inspector on - (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed 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. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wyou issue the permit, process as follows ❑ Mail to owner, ❑Mail to co tractor. ephone 3 ' lDS a and hold for pickup at Orr rA) office. ❑ Deliver with inspector. Applicant:. a 011 Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 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, ❑ 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: Contractor, designer, owner, was advised of the above required data by 13, phone, ❑ mail, ❑ Building Division co utter, by D te: Plans reviewed by: Date: lans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. q7- let 2-� I 3 July 29, 1997 o,"56 --290—o74 , Pacific Consulting Engineers 2150 Bell Ave, Suite 145 0 Sacramento, CA 95838 • (916) 564=6028 0 Fax: (916) 564-6029 TO: Integrity Homes, Inc 3130 Esplanade Chico, CA 95973 RE: Foundation plan for Silvercrest Model W-52 PCE Job No. 97-638 CHANGE ORDER NO. 1 The dimension for the footing for the ridge beam support at the module line between units A &- B shown as 28'- 3" is changed to 38' - 3". The associated calculations for the support load and footing size are correct. DATX-Dafimien P.E. -7 7 Date BUTTE COUNTY 1' •C C I �;MA , W 1,214C I! -O/C)/ ' RESIDENTIAL 036-780-072 PERMIT#97-1424 ,yG.�97 _ LIND, Kathleen qC ' r PERMlr.,2665 Brougham Dr., Oroville' ` Cont:'•Integrity"Homes; -Iric k MH� on Perm Fnd • :PERMITE�z-•-*---,-- -. .-r..ar.-�. .-, — I J rl - /;�� OWNER CONTR. aASSESSOR PARCEL IAJ. `= -OCATION Si ,T 1':. is i1 HE HCD'FORM.4'33A FOR THIS MH; CANNOT BE ECORDED'UNTIL ONE.OF THE FOLLOWING HAVE EEN TURNED IN TO THE BLDG DIV: _ , lk s .A J• 2) STATEME- N- p MELS) , > '(ONLY 0 W 21 14—A-44BEL—IC OFFICE.COPY , Address GAS Meter Byp E L ECT R I C D--����--�-F� Meter B Temp. Power Pole Called PG&E Temp. Elec. Service s. ' Called PG&E r• ..�emp. Gas,Service-z. ; V 1• •��� _ ' s .• Called PG&E Q #f } c;,,: JOB FINALED (Date) f Signature, i VOK ' O = Not OK Nott ReadApply MOBILE HOMES Date MOBILE NOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer Location -Test -Fall -C/0 -Concrete 4. Water, Location, -Lest -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / ft'tL / /Nat or/ /t'(L/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance uate Card B-1 Data Card B-1 Date Card 0-1 Date Card B-1 Date MOBILE�ACIME INSTALLATION (Plans) OK except #'s _E!5?&njN Requirements -Setbacks Easements - ai!!�otings; Size -Spacing -Marriage Line H Test-Dernand Vahe-Connector /�eclricitv: MH Test-Crossovers-Rreekers-CLParanrpn MH Test -Fall -Flex Connector ¢�lasgr, MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Awroval Gas and Electricity Tagged • Cert. ts; Insp.-Sketch 11. Cert occupancy Ig nnent Foundation Only.- License Decal Date cYE', r Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSiae-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking racing -Stairs -tails 4. Wcod'Awm. Posts-Beam&*Mrs.-Ckmnecbrs Shth`g.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-0ecat-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sds-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing-VeneerStuxo-Mesh 10. RootShthg-Roofing 11. Ext; StepsDoors-Landings 12. Braced Wall, Panels Date - Caro B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Sols; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5'-Circutatlng Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-FloodSlope 47. 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts- Wrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way CIO -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 69. Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date 71. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 24. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets & Recepticales at Kit. Counter 25. Size Boxes & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 26. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Plb., Elec. & Mech. Equip. Listed for Location 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Elec. Receptacles in Garage (G.FI.)-Romex Protection 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 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade 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 Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft St9p 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: Truss-Shting: 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 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & 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 Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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 DOWOPMENT SERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1q PT (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-78-72 ZONING, BUILDINGPERMIT OWNER KATHLEEN LIND TELEPHONE 589-1193 SO. FT. OCC. BUILDING VALUATION 1883 R 101 682.00 OWNERS MAILING ADDRESS 18 MRMONY DR OROVILLE CONTRACTOR'S NAME INTEGRITY HOMES INC I TELEPHONE ' 533-4403 CONTRACTORS MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILL•E CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 323.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2665 BROUGHAM DR Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE $ 366.25 LOTNO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ild Other SPECIFY Each Trap 7.00 - Solar or heat um 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 Iff Describe Work: MOBILE HOME FOUNDATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.001 is-nr Mobile Home IS I GI Wf 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V 0R LESS Main Service 20OAORLESS 23.00 9,1 nn 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 ull force and effect. t /� License Class Lic. No. �% , %cS Q OWNER -BUILDER DECLA ION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ] 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ,l e- Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD S. SO 3.5¢FT. NON•RESNE tIDTjCl OC%CLEUT 97.50 aPs ELR APPARATUSLEr w. E x. Occup. OUTLET ORFDCTURE 20 @ I.00 BALQ .50 Ex. Occup.OUTELETS RESD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number S`gid -o �// % (The above sections need not be completed if the perm) 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 fort comply with those r w ons. �� � � _ X Date _� � � Sig 4atUreNd-f-Applicant - ❑ Owner ❑ 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 Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 47 2 , HAZ. D. FE IM F. f C PARC H. SUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 17' the applicable provisions Resolutionsid to do work been aid. Date ��' L�,V Date Receipt No. 224136 I WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , R F ; ,COUNTY OF BUS a, : ` . EPARTMENT OF DEVELOPMENT SERVICES - BUIL DI G DIVISION i' 7'COUNTY CENTER DRIVE - OROVILLE, CATIFORMA 95965 - TELEPHONE (916) 53 -7541 PERMIT APPLICATION DATA SHEET OWNER: i ASSESSOR PARCEL` ER: l V O — Proposed Building Use: Building Inspector: r Date: At time of permit application, I as adv ed the following data must be su itted prior to permit f ro ssin and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 133. Complete plans, 3/4 sets, sign by the preparer of plans. ----------------------------------------------------- N. 04` -Engineered plans, 3/4 sets, with wet signature ori plans. All engineering must be shown on plans. -------- e. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non --Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10 Fees of $ - ----------------------------------------------------------------------------- pact fees as shown on the attached schedule. --- -- - --------- ----j--- ------------------------------ % % 0 California Department of Forestry plan approva eek ----------I=� ------------------------------- 3 Flood elevation certificate. ---------------------------------------------------------------------------------------- . Sanitation and plot plan approvalpHealth Department. ------------------------------------------- ❑ 1.5. 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). ---------------------------- 020. Pre -inspection for I required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number; ----------------------------------------------------------- �. E323. Owner -Builder Verification (Given, to owner ❑, Mailed to owner 0) - -------------------------------------- e5.02Letter of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement.-------------------------------------------------- E126. -------------------------------------------------❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑2�8 Existing violations and/or expired permi . --------------------------2------------------------------------- - 07E1433 A, ❑Grant Deed, ❑ M.H. Title, zk to H.C.D $ �J Jd--------------- �� 3 . Other: ------- you issue the permit, ocess as follows ❑ Mail to owner, ❑Mail to tractor. UTelephone - ��� and hold for pickup at office. ❑ Deliver with inspector. Applican / Copy of Haz-Mat form sent ❑Health Department, ❑Fire Department, ❑Air Po lution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: ��r, designer, owner, was advised of the above required by ❑ one, ❑ mail, ❑ Building Division counter, by�,r/ Date: 7/1s y 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, ❑ Build* Division counter, by Date: Plans reviewed by: - Date: Plans approved by: Date: i�5� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. w�,.rs- s-s�v,s,-a..,r- ti. ..� r -r --'i . _ _era.:.s-nwnTvswirmr� n: • - _r '�ts:"r'c.--„....,� -mow , .... . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE U 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ . -- Additional Fees Due .........:. $ -- Revised Plan Checking Fee ....... $ _�0�2. SCHOOL DISTRICT FEES J (paid at District Office) dX .r3:” SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $360. Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. A.P. # O3( 0 U DATE REC # DATE REC amt 13�77 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES n n� $425.00 (paid at Building Division). . 7. SRA FIRE INSPECTION AND PLAN CHECK 45 � $89.00 (paid at Building Division) �-t13(D 7hk 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) . 10. OTHER j� V 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. APPLICAN ,,,, ` DATE. .. _//7 Z! �Z. Original -Owner Copy -Building Div. (Rev. 12/96) 4 • � •.,. rqr wr �H�f"^�'�•°'°. .1%!'�'��-'Y•+�M�AV•i'+�•.{'P"�r"'•^'V•'�T31i+�W4.'�•N�.yl��.-•ALf•7R./yy'.�. '.� r• --.-•v M-.- BUTTE COUNTY SCHOOLS IMPACT FEECERTIFICATION FORM �64 a 12 (One form per Building) School District. a, Building Department No. A.P. Number �— �"U (�-�.-- . Jurisdiction: City County Property Owner r11J Property Location/Address 0 (6 )YnU (A hrt_ i4l � 1r • , O YNk 1 Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home Addition (Group, R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior Roo ed Areas) wild11 ing Department Representative Date (Floor Plans r viewed by School District Personnel) 0is ict Identificati n No. PFlD �O Y School District certifies that. ((, F (Applica t) (- (Street Ad ss) / . ^ (Phone Number) h s /Complied witlithe requirements of Resolution No. e resenting D 0 quare feet. chool istrict Represent tive r Paid by heck # y Remarks: D O( \�� (State) (Zip Cod V� by payment of $ ICJ a B 2926 5 $ t -u- Date Notice: You may pro!of;t the imposition of the fees identified above by subm ting a written protesVio the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm _ ,,,;.�v..�.�.�•—t""►'=-..err,�i.:rra'a`rtiyR—vr+}'.,.-n•��+r+'t�t'� ,w� ; •ys�G, . - �+ia•,•._r•.r`"*,.rr.,.�-^,,'�rs...,.l+i'; ""+�t�... ..ti . `, .�.: .- � .+ R`f H"t h✓'sP- 'b r•"' �' BUTTE COUNTY SCHOOLS IMPACT o� FEE�CERTIFICATION FORM G7� �. (One form per Building) i School District . U' Building Department"No.' A.P. Number V ( Jurisdiction: City County Property Owner Y_��. ��-� U Property Location/Address Subdivision Lot No. Q Residential Development E2r Sq. Footage �O No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) L' uilding Department Rep esentative Daief (Floor Plans reviewed by School District Per onPel) D.1�6Nict Identification hFo g 800,05 I� n v D D ( / A4i B N School District certifies that . 0 /Y) (Street A Ss J hone Number) (. ity) (State) (Zip Code)' I Is compliedlwi the requirements of Resolution No. d V by payment of $ ,s4 ��• presenti g square feet. B 926 $ n /KRLL IGATION School Distric epreSene J Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section '66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 3 7-026 29 1; Rec Fee I IHF Recorded I COP Official Records I Check County of I Butte I Candace J. Grubbs I Recorder I 2:47pm 15 -Jul -97 I PUBL XX 5.00 2.00 1.00 8.00 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals. including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessan. farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 72'j 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. Date: ��lt�y �S,�Gi��I PROPERTY OWNERS: KATHLEEN V. LIND State of California County of -izLLr-c On '-l`l5-cn before me, C-�NTI`�,l�A OSTi� personally appeared — � )'1L-� V . i�1ti1'{i personall. known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. W ITN ESS m% hand and hfficial seal. Signature -4A.P. # CYNTHIA A COSTA COMNOTARY FU�IBIPORNUI Mr COMM B(E PINI p OCL 30.2000 PERMIT NO: 25-97 Lake Oroville Area Public Utility District 1980 Erin 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: July. 15, 1997 Applicant: Kathleen Linda (In.tegrity Homes) y Applicant Address: 18 Marmon Dr. (1740 Feather River Blvd.) ^ Oroville, CA 95966 (ozoville, eft 95965) Applicant Phone No.: 589-1193 (533-9643) Property Location(s): 2665 Brougham Dr., Oroville, CA 95966 A. P. No. (s) Fees due: Carriage Manor Lot' #72 036-780-072-0 All fees paid. Application for service approved: LM FWOROVILLE 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: Pacific Consulting Engineers 2150 Bell Ave, Suite 145 • Sacramento, CA 95838 • (916) 564-6028 0 Fax: (916) 564-6029 July 29, 1997 TO: Integrity Homes, Inc 3130 Esplanade Chico, -CA 95973 RE: Foundation plan for Silvercrest Model W-52 PCE Job No. 97-638 CHANGE ORDER NO. 1 The dimension for the footing for the ridge beam support at the module line between units A & B shown as 28' - 3" is changed to 38'-3". The associated calculations for the support load and footing size are correct. David A. D"alf imen P. E. Date `L RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97=031110 197-031110 197-031110 97-031110 I --Recorded 1. Official Records I County of i Butte I Candace J. Grubbs I Recorder I 2:44pm 19 -Aug -97 1, Rec Fee .00 Total .00 I 1 1 FRMS t+ XX 2 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 fqr 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. KATHLEEN V. LIND MANUFACTURER'S NAME 18 HARMONY DRIVE MAILING ADDRESS , OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 2665 BROUGHAM DRIVE INSTALLATION MAILING ADDRESS. IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUbITY STATE ZIP Yf-' ¢24 /in (916) 538-7541 8Z/ & 177 SICNAIPE OF LOCAL GENCY OFFICIAL DATE INTPGRITY HOMES, INC. DEALER NAME (if not a dealer sale, write "NONE") 92834 DEALER LICENSE NO. UNIT DESCRIPTION SILVERCREST 1997 WESTWOOD W-52 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL N AME/NUMBER 1730 5880 ABCP 56'X39' 246296, 245297, 246298 RIAL NUMBER(S) LENGTH N WIDTH INSIGNIA/LABEL NUMBER(S) RE.1L PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. 9036-780-072 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #036-780-072 THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 72, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN HE 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. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN 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; APRIL 23, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768; AND JUNE 4, 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-22919, BUTTE COUNTY, CALIFORNIA, ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. 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; APRIL 23,1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768; AND JUNE 4, 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-22919. ......................... ..... ...... ........................... BUILDING PERMIT NUMBER: 97-1424 Address or location of unit: 2665 BROUGHAM DRIVE, OROVILLE Legal Description of Real Property: A.P. 9036-780-072 SEE ATTACHED LEGAL DESCRIPTION. (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: KATHLEEN V. LIND Owner's address: '18 HARMONY DRIVE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER; HUD 246296, 246297, 246298,. SERIAL NUMBER OR V.I.N. 1730,5880ABCP, MANUFACTURER'S NAME:' SILVERCRqM,.ZYEAA.- 1997 OFFICIAL APPROVING INSTALLATION: DATE: HONE: (916) 538-7541. H.C.D. 513C ..................................... .................................. :X . .............................................................. ..................... .......................................... . ......................... ..... ...... ........................... BUILDING PERMIT NUMBER: 97-1424 Address or location of unit: 2665 BROUGHAM DRIVE, OROVILLE Legal Description of Real Property: A.P. 9036-780-072 SEE ATTACHED LEGAL DESCRIPTION. (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: KATHLEEN V. LIND Owner's address: '18 HARMONY DRIVE, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER; HUD 246296, 246297, 246298,. SERIAL NUMBER OR V.I.N. 1730,5880ABCP, MANUFACTURER'S NAME:' SILVERCRqM,.ZYEAA.- 1997 OFFICIAL APPROVING INSTALLATION: DATE: HONE: (916) 538-7541. H.C.D. 513C AIAQ V0-00 rAA blu oa4 1041 bIDWELL TITLE I".4 =E + 10006 ;� ' � .. .�. •tip ;'_ ".. .-:' . �`'�, . .. ry Y,� • `, �: ,•,�;. rt • �'.};'- > ?/yi'�\r^P � :ids:.\�,"�a' ' Y � ��, : SIpI'' • t .5r.. + ' i tom. '� �k0�j�tis�,�'•r <.: i-)STt.`"::. � :•�.. , �i , . , , ..: +'�r,:'.... , . � � -i �. _v B AT: ' i . w"' y;:.1;- .i :' �QltQ1185RD m.T.RtrEscrow ?LlL.R► `• No.. 157344 -UN Loan N. o WHEN 1 RECORDED MAIL Tl? C ! Rb Pipe, ..'.�•.,:,;;�,,•;;.•:..:•. e, 9 .00 K&TM x V. •LAID .i DOC' °' R�oordrid':' :.' I . Check i4. e3 18 BAtiy0lfY Days :Official• R000rdo .• I 23. aS 0 95966 : �;`'`' County 13 Candioe,.J:: :•.: J r .. '•Grubby 1. Corder ::''6i00a� • ie-baa=96'� I.::•. ..... : , •MP 2 DOCUMOMRY TPINSFER TAX 8,_.Jj4..Aj. . ,.. <. _. . CorttP+leO one» ; r r+,re LINE FOR RECOi10ER s use ...,.. C-rttfxlbdoomJderalJpn a value of PtoPert)J aatieye�•Op :'.';1•, 'f:: , � :'�;:-•�t�:r;':�: ?;'.:;: ,:,`,: '..:. ,, .:: , do tho CMOderdm of WU6 bee Mer» or eawmbr�toe'=; t'..• '• `tom QHSIGllap Da 0 b Oma el eab • CURES Ofer la _PffM RAM, AFF 036-780-072 ; FOR A VALUABLE CONSIDERATION,. , ,.. • :..,:.• .,;; ..:.• ;;.,.': • ', , .: �. � :: ro00fpt of Whldi is hereby jcl noteltedpetl, . PRANK l .' C!$1.IR AND -.Vv ; :.; hereby GRANr(S) to RATEAJXX V. LIQ. AN VWjmUtjjD i am" the real property In theme VMCDaMRAnW ARBA County of SUM' . SSE LHCAL D19SCllIP WN ArrACM Dated DIICffi91q 12. 1996 pereeneMy oDoeared F.k �. C ►,.� I ' !t pereenefly k wm to me (a erl0ea>i.) to bs the oason(e)wtaee wena(e) werea�eatbed 1. the vdt11ln ktstNRlenI and edtnonledQed to the that 11ereaa(%hey executed ate same 4erry In I+*k avthot Zod CAVOOWISS), and lMt by Mo4ro ", etpna• tvrs(s) On the Instrurtront Ins Pettlon(s) Of efe m0y Ypon behall of which 1118 PaMOn(8) aged. exeaaed the Inamiment, WITNESS my hand and ofecyl eal. /f MAIL TAX STATEMENTS TO: , State of California, aesutbe6 as (mft ane rm affiew ww b..q SAM AS Asm0 cam OWE X111 1�{e Ihaytat'Ito—Ori�eld W ca"n owm ew Rte t IOU (1t1 fir. ,,��•;:';•��� "��-' .. ... ..................... • ORDER NO. 13U-157344-3 LAND'. REFERRED' .TO -'-'0 CALIFORNIA*: I THIS RxPORT Xg -SITUATED IN THE STATE OF OF SUFTEO.- AND IS' DESCRIBED AS FOWOWS LIDT 72" CERTAIN MAA 'ENTITLED DCARR . rAGR MANOR, A PrJumb UNIT V LOPKE WHICH MAP WAS JtECOjj�RD IN THE OFFICE OF THE: RECORDER OF;,, THE..;. OF'; BUTTRe", STATE CALIFORNIA, ON Ws,:,AT 40. AND 49,' DR -AND ACCEPTED ToOlt Tn COVSKANT3# COND, RESTRICTIONS --AS-­-*S2f.- TIONS AND AS 'RESTRICTIONS -`RECORDED�` F40RTli:*.'XN'.-. THAT_ CERTAIN DECLARATION OF -*MARCH'.28 ' 197.9,--` IN OFFICIAL RECORDS ,' ANDAMLpNDZ * By'INS BOOK 2383, PAGE 417, •D TRUMENTS RECORDED NO 1960, IN - BOOK 2571,.PACE 354, OFFICIAL RECORDS, VEMBER 20, UNDER OUTTR COUNTY RECORDER171906, IvS SEPLXAL ROO -86-120401'APRXZPRIL-, 23,, 19861. UNDER BUTTE 1990,' %UNDER -COUNTY "RECORDER#$ AND. OM. 4 BUTTE,' COUNTY RECORD p XRl'S­SERlAL NO- 90-22919, aw"s COUNTY, - CALXFORNIAj ALL. OF - WHICH: ME INCORPORATED nRj9IN. By REPERENCE-THERETo WITH THE SAME FORCE AMACC X�FECT AB THOUam VVLLy SET FORTH HEREIN AT APPROVE. 12RCTH AND GRANTEES BY ACCEPTANCE or THIS DEED RoVZ ..ADOPT,.* RATIFY AND AGREE, To. THE TERMS OFSAID D6CLi1IiATION. RON-ZXCjU6 rVE'FOR XNGRE : S'. S AND VEHiCULAR AND PEDESTRIANMOVEMENTO p RE EGRESS, THE COMMON AREAS ..ALL' ARX' CREATIONAL AND tOR OTHER PURPossa OVER 'AS SET FORTH- IN THE DECLARATION OF RESTRICTIONS RE CORDED .• MARCH 28,. 1979, .IN BOOK 2383, •PACS 477, OFFICIAL RECORDS.'AND AMENDED By ZN57RUMENTS RECORDED NOVEMBER 20, 1900 IN BOOK 2571,` PAGE .354, OFFICUL-RECORDS1 APRIL 17, 2986, UNDER BUTTE COUNTY RECORDEROS SERIAL No. 86-120401 APRIL 23, 1966, UNDER BUTTE COUNTY RECORDERIS SERIAL No. e6-127681 AND JUNE 4, it 19901 UNDER BUTTE COUNTY RECORDERIS SERIAL NO. 90-22919. �A �yeMr'ar STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a:Fx] Mobilehome [ Commercial Coach E] Floating Home Truck Camper Decal (License) No.(s) TO BE PROVIDED LATER Trade Name SILVERCREST Serial No.(s) TO BE PROVIDED LATER I/We, the undersigned, hereby state that the unit described above: MAY BE PLACED ON A PERMANENT FOUNDATION ON AP# 36-78-72, 2665 BROUGHAM DR-:, OROVILLE, CA 95966, BY AUTHORIZATION OF INTEGRITY HOMES, INC. Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at OROVILLE CA (Date) (City) (State) Signator f each affiant Address 1740 FEATHER RIVER BLVD. Printed name of each affiant CIRO G. CAVAZOS ;/ INTEGRITY HOMES, INC City OROVILLE , State HCD 476.6 (Rev 11/86) CA PERMIT NO. 6645-79B PERMIT EXPIRES t Warren T. Ambrose OWNER ,CONTR. Oroville Trailer Sales, Oroville LOCATION (A.P. 8-12-72 2665 Brougham Dr., lot 72, EX�idffii Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) f s MECHANICAL scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQBILEHOME INSTALLLATL N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT 0P PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI IInsulation Garage Vents Water Htr. Heaters Slab Carport Footings Prov. for phy handica ed Conformance of ex. sically structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors s MECHANICAL scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQBILEHOME INSTALLLATL N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (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 cN�c1— %lUUMY UI OUItV LU CIPLUI LIIJUII LJIV above-mentioned pr'��'�6r`ty` f'o'r inspection purposes. X Date Signatu're of Permi'tee or Agent Receipt No. 4 White-D.P.W. Yellow -Assessor Pink -inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButteLCounty Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Contractor Mailing Address 7(�';, Fireplace Total Valuation Telephone No. Permit Fee BuildinAddress g Plan Checking Fee&/orPenalty Permit Fee $ 7—t z� C,7; PLUMBING No. @ PEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. oni _Z 'n,g4 Planning Water piping 1.50 Each gas water heater or vent 1.50 FeesI Sanitation,'; Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 1 60' R/W I Improvements. Each additional outlet .30 Building sewer 5.00 Bldg. Plar's-'14..'d tarc�.IA mvcii Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITIONE] UTILITIES ❑ OTHER E], Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 0 Duplex ❑ Mobil Home i'? Others El Main service EA. ADD -L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. ( DWELLING Occup. 5) 120 sq f t OR ADDNS. ACC. BLDGS. 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. (MULTI -OUTLET NON.CONST BRANCH CIRCUITS)l 2.50ea NEW CONSTR.POWER APPARATUS NON RESID. (SINGLE OUTLET CIR, 4 1 50=1 Ex. OCCUI)(OUTLETS OR FIXTISIRES BAIL FIXED APPLNS OR Ex. Occup. ( OUTLETS(RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E] I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability forWorkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 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 hereby Land Development Fee $ TOTAL PERMIT FEE $ cN�c1— %lUUMY UI OUItV LU CIPLUI LIIJUII LJIV above-mentioned pr'��'�6r`ty` f'o'r inspection purposes. X Date Signatu're of Permi'tee or Agent Receipt No. 4 White-D.P.W. Yellow -Assessor Pink -inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButteLCounty Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i 7,kCounty,.Center Drive — Oroville, California 95965 � Telephone: 534-4541 / � /��`, � C/•?/ APPLICATION AND PERMIT MUU IUIIGV 1WPICJrnlall J UI UIC VUUnIy UI DUtLU LU CIILCI UPUII tFit: above-mentioned=p for inspection p oses. X Date Signof a of Per ee or Agent Receipt No. �30 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butt County Code and/or resolutions to do work indicated above r which fees have been paid. Diff9cAFOR OF BLIC WORKS BUILDING OwnerSQ._FT. OCC. BUILDING V UATION Mailing Address Telephone No. Contractor Mailing Address • �� Fireplace Total Valuation Telephone No. _ Z Permit Fee .... Building Address��� PlanChecking Fee &/or Penalty Permit Fee $ �. PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �?r Repair drainage or vent piping 1.50 A. P. No. ... �-- Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe e� 0�, Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla Recd I A rove Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OT ER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soot/ OR LESS 10o AMP LESS 5.00 Single Family Du lex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service EA. ADD'L 100 AMP 2.50 FX L Main service OVER soot/ 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNST % ACC`BLDGS.CCUP. 4) 20sq ft 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 le of: style 01Q OVILL 7Xy1"1I S/ c&r NEW CONSTR MULT]-OUTLET, NON-RESID, BRANCH CIRCUTS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID, SINGLE OUTLET CIR. EX. Occun(OUTLETS OR FIXTIIRES) IBAL21 Ex. Occu FIXED APPLNS, OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 b License No. ua6% T0S� Classification C--61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE Iam ware of the provisions of Section3700 of the California Labor Cod which requires every employer to be insured against liability for orkmen's Compensation. wr I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 relatipg to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ MUU IUIIGV 1WPICJrnlall J UI UIC VUUnIy UI DUtLU LU CIILCI UPUII tFit: above-mentioned=p for inspection p oses. X Date Signof a of Per ee or Agent Receipt No. �30 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butt County Code and/or resolutions to do work indicated above r which fees have been paid. Diff9cAFOR OF BLIC WORKS w A ---� Z* The Bldg. Setback shall be 5 ft. from the 4i7 side ro ert line and ft. from the center i� e o the roa , permitting a maxi- eeificr+t'nn� Iii 1ST be mur:► of a 2 ft. eave overhang but entirely This set of plans and spe rad it i' unlrywft!1 to out of all easements. kept on the i^h at al. r, �,�,nns on scam® without ".- onv ch"" "_ s or a4t partm®nt of Pub116 om written permissioQf Button® Works, County _ 1 `1 £ kv� CS Workmanship Shall Be a4g VOTE.—All Materials p,- ,4 practices and p with Re cooni�ed G� , f� Accordancesh 5! , cd use in the BUTTE COUNTY of a quality prescrilaeri 'for e . l�lurt�',►nc3 � mcchan;cal Codes an Uniform Building, BUILDING DEPARTMENT ationaI Electrical Code• " " APPROVED i Z 6VF-KHEAO VIEW Rocv�� Row Q 7"�7 ROW Zy� Prov ��d006 Rim so/sr no 8c .7 A x 61" 4e. a om 8 emR VEC91N6 r -O 8E z''x6'' ecowoov oR C60Ag CoN,rr. 302 09 demg aexow ro 4ee 21"X6' a. F/q ;OA,? 09 A967769 cmwl6NT.s To 96 9"x y" -S ro �� �2" X /2.x8'Tiq®er�'EL� C6NC.RET� &0'Am r0 /L e"m' To ac a''x D''_ F14q 0 ��a, y I�?,�i�5- ro a �G�� ✓sr�Er✓soa v.� a .. —96 �� 36 Top rail to be .42in. high, with in- - 5'jPs 3c��rv;q�r Top rail to be 41 in. high with in- term.ediate rails to be not oder 9 in. termediate rails to be not over 9 in. apart, BUTTE COUNTY L BUILDING DEPARTMENT WE APPROVED /L `<.l � <1 = 7y. 4 566-79P= PERMIT NO. PERMIT EXPIRES Warren T. Ambr� e OWNER CONTR. � owner LOCATION (A.P. 8-12-72 ) 2646 Monte Vista Ave., Sp.#72, Oroville s �4Y A� i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Mak Bldg. F tinas Stekwall Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framina / COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING rewall SA Piping Plkapets t Floor Res oom Finish 2n loor Wind&vs 3rd oor ! Sidin To out Roof Sh)athina Water Piplki Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation x Water Htr. Heaters Prov. for ph sic ly handica ed it Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Final A Sanitation IRE LACE Final Footing EACTRIbAL - Throat Rou h Final Fixtures FIRE SPRINKLEAS Motors meso MECHANICAL Grd. Faiffit Prot. Scrat N I Heaturg Servl BroVA I Coo ng TAO. Pole Int for Lath Y6ntilation Permanent or Closer anal VFInal MOBILEHOME UTILITIES Elec. Service ` i Elec. Pedestal 1' Water Piping (`y O Sewer 0 —7c/ Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0% v .�j J (NOTE: An entry must be made on this form each time you visit the job site.) JT -COUNT' OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aUUlVIIeW ICpleSeIIL0LIVCJ UI Ule VUUnIy DI VUlle to enter upon ine above-mentioned property for inspection purposes. 7 Signature of Permitee or Agent Receipt No. 1 &22C White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _[1IRE0T,0R OF PAJBLIC WORKS, i J//I r, F, Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address P It" Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,� b Plan Checking Fee &/or Penalty - Permit Fee % PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 y Repair drainage or vent piping 1.50 P. .� �7 Zortin ng if n Water piping 1.50 0 -- Each gas water heater or vent 1.50 s i Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 /0 -- EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 p.►— Bldg. Plan Recd Parcel roval Plans pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ LITILITIPff OTHER ❑ Permit Fee $ $ v— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6111 OR LESS 101 AMP LESS 5.00 SinSingle Family Duplex Mobil Home Others s v ❑ p ❑ ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER .600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCL7i C BLOGS.LING CCUP. � 20 sq ft 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 $t le of: y NEW CONST.ES,., MULTI.OUTL T NON -REBID BRANCH CIRCUITS !2.50ea NEW CONSTR (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) 5 L ,@ Ex. OCCU FIXED APPLNS. OR p• OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 f'I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 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 hereby Land Development Fee $ .� TOTAL PERMIT FEE $ `— aUUlVIIeW ICpleSeIIL0LIVCJ UI Ule VUUnIy DI VUlle to enter upon ine above-mentioned property for inspection purposes. 7 Signature of Permitee or Agent Receipt No. 1 &22C White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _[1IRE0T,0R OF PAJBLIC WORKS, i J//I r, F, Building permit expires Date J' COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. jN__41 _e Date,3 "d. �-2 1 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -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 r which fees have been paid. (WECTON OF PUBLIC WORKS BUILDING Owner a. r SQ. FT. OCC. BUILDING VALUATION Mailing Address J Telephone No. S —13? Contractor ✓t" Mailing Address , Fireplace Total Valuation Telephone No. Permit Fee Building Address Owe Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE 7;2, 2 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. NWater -7 ZoA' S Planning piping 1.50 Each gas water heater or vent 1.50 I� SaFon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI a g. an Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ ,q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Sin Single Famil ❑ Duplex ❑ Mobil Home � Others g Y ❑ Main service 100v DR LESS 5.00 C loo AMP'L LESS Main service EA. ADD100 AMP 2.50 i 7R „�. P 6r Main service OVER P O 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST. DWELBLDGS.LING CCUP. s) 20sgft OR ADONS. \ ACC 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 St le Of: y I C L.G NEW CONSTR. BRANCHMULTI-OCIRCUITS) NO N.RESID (BRANCH CIRCUITS) 2.50ea ' NEW CON ST R. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. OCcuo(oUTLETS OR FIXTIiRES 50@25 FIXED APPLNS. OR Ex. OCcup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �--- �,� _/D License No. tz Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ '.S' $ 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� I have placed on file with the County of Butte a certificate of 4� Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL INo. @ FEEPERMIT FILING FEE $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 hereby Land Development Fee $ TOTAL PERMIT FEE Is authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. jN__41 _e Date,3 "d. �-2 1 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -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 r which fees have been paid. (WECTON OF PUBLIC WORKS -COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS ��--tCounty Center Drive - Oroville, California 95965 ��<-2 Telephone: 534-4541 9 APPLICATION AND PERMIT (� autnorize representatives of the County of Butte to enter upon the above-mentio d property.4or inspeAtion purposes. X DateAS 17 ignature Aftermitee or Agent Receipt No. U7 White-D.P.W. —Yellow-Assesso — Pink -Inspector —Go I den rod -App I icon t This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. I T R OF PUBLIC WORKS t/ B Date r a `SSD Building permit expires Date ).-- BUILDING % Owner E T. /�B%�'Q$ SQ. FT. OCC. BUILDING VALUATION Mailing Address a 6 6 lnomrt VISM ME Telephone No. Contractor 690Y1LLL TRAILER SWUS Mailing Address Q Fireplace Total Valuation Tel o -L1 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee (p�46 hoot)1:� /f&L/ .die - PLUMBING No. @ FEE , /9� A &A)9,111? PERMIT FILING FEE $3.00 Each Trao 1.50 7 2- L®T O� lL_-�C� Repair drainage or vent piping 1.50 0 2— 7A A. P. No. ` Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F6 <Sr>twad(� Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W I Improvement Each additional outlet .30 Building sewer 5.00 Bldg. Plon ec'd Parcel A oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES [:]—OTHER @� Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8011 OR LESSL 100 AMP OR ESS 5•�� Singleamity ❑ Duplex Mobil Home Qthers ❑ Main service EA. ADD'L 100 AMP 2.50 4` • OVER Main service 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONS. I DWELING OR AD.DNST %ACCLBLDGS.CCUP. Y) 20sgft 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: -y-d �1,'/` 0MOWLI i MUM SA C.) NEW CO -RENSDTR MBULT IH-OUTCILET NONSI(RANCRCUITS) '2.50ea NEW CONSTR./POWER APPARATUS d NON.RESID, (SINGLE OUTLET CIR. EX. QCcuo(OUTLETS OR FIXTIIRES IBAL EX. QCCup. OUT ETS IXED P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ntIn License No—90T Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ 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. @ MECHANICAL No. FEEPERMIT FILING FEE $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 hereby e A!H/ $% TOTAL PERMIT FEE $ Q autnorize representatives of the County of Butte to enter upon the above-mentio d property.4or inspeAtion purposes. X DateAS 17 ignature Aftermitee or Agent Receipt No. U7 White-D.P.W. —Yellow-Assesso — Pink -Inspector —Go I den rod -App I icon t This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. I T R OF PUBLIC WORKS t/ B Date r a `SSD Building permit expires Date ).-- i his set- of plans and sp6citicationsKOMM %64') inept on the job-mall-tieVa -Vnlawful to make any changes or alterations on 'same without written permisson from the Department of Pu6li, . E.t Works, Countv of atItM. BUTTE COUNTY aUILDING. DEPARTMIM BUTTE COUNTY DEPARTMENT/OF PUBLIC`WORKS - 7 County Center Drive,/Oroville, CA. PHONE: 534-4541 MOBnEHOME INSTALLATION SHEET 1. owner's name: OROVILIF FRAILER -SALES 2. Installer'•s name: RROVILLE TRAILER SALES �3. Is the site currently under permit? 'Yes / / No / / •: ' (If yes, furnish permit . number":.t ), OR - Is the site an existing site? Yes / / No T7 (If yes, furnish two plot plans.) �(2) 4. Will the mobilehome`be located at least 5 ft. away -rom septic tank and leach fields and clear of all setbacks and easements? Yes / �No / (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- A /pfj Amps 6.. What is the mobilehome site service rating? ----------- '--------Aw Amps 7. What. is the mobilehome site circuit breaker rating /pp Amps 8. Is there any other electric load,to be served by the mobilehome siteservice? ------------------------------------------r-------- Yes No / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- in. � ----------------------- 10. What is the type -of gas service? = -- — , _ Natural -../--y/' LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas.demand?--------------------- _-------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) .Y t ... MOB ILEHOME SUPPORT DATA . La `X If other than 'single wide, ' Mobilehome Mfr.jft Tj ° s.uaa� furnish .Setup Model No. /(� Year /J�d Width .(ft.) Box Lengt(ft.) Tagalong or Expando Size t. x ft. r (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file witli the County of Butte). All center supports measured from front of mobilehome unld'ss otherwise specified. _ Footings (check one) O o (ft.)(in:)' Center support. locations* 1. O (ft.)(in.) S ingle N, . x L. Ajfp i /4q ii.8•. (in.) (in.) E ft '; ° Center'support footing -sizes (in:) 1 I x (in.) (in.) , goo (ft.)(in.) •. (ft.)1 (in.) M. 1. Wood either pressure treated or foundation grade. �. 0 her (specif ) Supports (check one) Concrete block. 2: Other (specify) <--Tagalong or Expando,' show support details. Typical Support (in.) (in. Footing Size p" -- Max. Pier Spacing (ft.)(in.) n -- Max. Overhang (i .) (in.) BUTTE COUNTY BUILDING DEPARTMENT a&,at Qt-- APPROVED *if center piers are other than drawn above, .vw draw in—locations. spacing_ and dimensinnc_ -SHEdT I OF 2 1 — GRAYSTONE- ' BLOCK CO, INC. 316 RIVER ROAD- MODESTO, CA:, 95351 •(209) 523-6462 MOlSILEHOME SUPrOOFtTS .� •.may a� �i � �� \r�• �� NOTE: �r I(7 GA SAOf>L•I STEM &.ND B^SE AR'e IC7GA .SvDOLL GLASS FiB--R 6ZEINF'ORCJ~0. 1. 1 11 L POD MAX. X. HEIGHT. =BG" INGU0- lL� ' R0O �� �ocKNvr I-OGKNVT �1Ib ING JAUCS OR 4-3# 5cQF_ / JACK 4 X 3" 1 PLATE /-% DIA HOLe, 4 x3 x3 PLATE WIT& 0IAFI06-,( I� �12EGTION OF MAIN , 4'y�SG12EYJ s C WON JACK NOLs= °V" NarcH IDENTIFICATI STEM BLO 8%81.(6 BASE O 1 HASSIS BEAnq L EDGES STACK W/OVEN CELLS VERT t AS 5HOV1N,r'OGZ HEIGHT. "\/" NOTCH I DEi,in i= I CATION 4x12XZl B�*s>✓ gLoc 2SC) sc�.INs. Bei IIA„ 1800* P1r=R* ST6M BLOCK omt6R16 BASE BLOCK FOR IOOO PSF SOIL f3EAPINC CAPACITY• MANUF.ACTUmrViS NOTE: THIS M0gI1„EHOME SUPPO%Ti. S1'S-_ APMOVAL LIMITED TO USE AS A MO&LF-HOME TEM FOES N07 1�20VIpE STABILITY FOR ANY LATERAL"' _ SUPPORT PURSUANT To SECTION 5082, CHAP, S, LDAr)i"G. LATE2AL SUPPORT ANP esacaClNG To 13,17--PROViMO TITLE TITLE 25, C.A.C,, WWIEN A VALID INSTALLATION DY OTHERS. NOTES: f^OR SOIL 13EAIZING GA►>ACITIES OvER 1000 PSF,OP- HAS BEEN CB7/'JNR0. FbR ROOF LL OVEi? 2OPSF, CONTACT MAIN. OFFICE. BFJ.OW SPACINGS MUST NOT EXCEED MFR'S INSTALL• APPROVED ^TION INSTI2L)CTIONS OR G-Q"C.C: POR COACHES MFp. PRIOR 7 OGT, .a)-73, Approval of these plans does not authorize or ap- prove any omission or deviation from requirements Of Stole IGWs or 1=:! ordinances. MAX. PIER SPACINGS (Fort 1000 PSF SOIL 6EAIZING CAPACITY 6 ?_0175F ROoc LL� 11 One sot of approver) plans shall be available on the project site at all ti nes. Piera SIZE 8' WIDE 10# W10E 12, WILE St:lte of California Department of Hcucing and Community Development Division of Codes and Standards "A�� �I—O� '4�'9 �i—O�� PIER � No. �, o E � PIER ' " S._0., . 12-0 9"( -7 IL Datf By . ►ER Q a 30 ®® ' PS OIL. � EXPIMs FEB 1 1979 NOT'r--,--An Materjols A Workmanship sinal?, j Accordance with ih RecqgnixeJ Good P,octir-*5 un of o quality proscribed ior the S� OcIfied &m,.g in thc- Uniform Building, Plumbing & MOZnicol Com' w-0, I M LfST fH's [ON Of full finles ana it is unlaw nak a any changesOul or alterations on same With aff Vn pbrmission fromfhg Depm*ne"t 00' VC.9 4 Comb ej &1"0 douse .Car Fort 12' 6" Wide X 58' I -Ono 725 c;?. Ft WI OGUM. v WLWAG C-3MAF;TWjEtq- APPROV9D s- - -1 (10 42 Y • 1 L en& c k 65Pmin CenalA+/.00Pminl Fascia k I Leng/6: ?.29m Cent/aced) Dec _ Length,/.65min(£,_closed) ,9e<keI( �SO Length«1.00Pmin(Open) "� S Pitch - A4 per foot -Dec* L/rMox. L l L l PLAN Provide forSee '5.( - d..D%/s`� fascia draino e�'14­4onec-cas-s Fosc:o 2-r�i� col. or 3dcol. /nsto/l co/. vert. ELEV. "8 SNS a 91C 4 side /ap - L -E l "B SHJC/2 C.e r,de lap -Deck 243 See Tab EecJoreds Fesu � e eo l-'BS1uerA/e./op-Qe+kc4s SItS Fascia � - 4j -a-61 Fasc/o_ If'o-6{y' pe.• eo1. S4r 0 f3oLf ?ee Low- --fi8e9c-Deck/ e C Deck 2 S3 r1 S per col. */J#*4 washer TAB. -Col. Shoe I (2f long) 2 - / �"o Col. Col Insert 2 5 EC r A, + J ass�seq'c a.cr1 tl 96r+sC' b't -�euL 2�j i"I•f3 GA re aeR CCL. .- Goy Swot 1 (2%y"LOVb) `--=I --_____ __--_ _ ____ III 111 ��Ia� .peek TYP CryP� Iifn r� Max L U Beam �%?E COLUMN con he -9 7 ght Fascia MW -H36 A/un: o% l/-_0' max. PLAN �� � �a . .. ., droinoge� SECT Deck I~ 2- B an diagonal I I i ysB � Deek I „ 8SNS a 9'c -Dec% / 'e3Aese e -c -Deck e Col• Al/ed torr fro 9erJ L__ __JI SECT. SEcrA, Deck SECT. C, ..7Ro/0cd fa,~ol Aa ger aB"/i"Wood' screw /of c. to penetrate solld wood member �-^ of mobilehome. Deck tBSMSe 9 c -Der k / �6ALMSC6 i-Gltk 243h. IdsMS A I 3 (i B:Sreel,Giade.E ASTM A446) �-Th.cA-ness =.ore � .50 e .,kv OT SHONN, .s l p0. veli of D, a-,. V A, OR .b, I i I N "• i ^ 2! SW' rrrL Ye6L1 ryp A with allow. pullout I value ./54'lonchor 3325 valve+3o8/anchor .33 A0 x /4yaye washer I/32S -WTf/_3`4/COL. S5ON 'DC+0 1')rIFWW SSN 16A NNLs_. CONN ' SDL. TO CONC. SLAB .F 4x4 MOOD FbST 2-/!e pCAtoms 325 2.20 L IMT-ALTEeNATW Pinish:.'.. 13251 2.20 3125 1. 2 3. 0 DEcx 3 3004-H36 Alum. DEcK 2 3004 - 1434 Alum. sT- /st , -I �' Z.SO l �fa6ela dp/ice _Ma6r/e6ome *1 member 19 / 3B 2-3tc x/i Slatted holes. 4�"FASCia GUTTER _ 6063-T6 Alum. P/- 7 Ga . 6/801 r J3� 4 /OGoge. 2.00 7S PL AN jj h 45 horn9er ^moi clt'.'2 s .08 TAB DETAIL O ^ 6063-T6 Alum.' i n � 06 0AL NOTDesign /oocls: Live /ood+lopsf; 16¢ Rod PLAN Q-- Wind /eod./OpsfJ Up/ifte/O,osf. 2. Awning may be screenad with '0 N •.75 tj:ff-- 2-q0open mash nsecr screenin�rer oOWOAe frons/ucenr Or END TRM44/1-VM c 230' fronsp oienT flexible plastic screen%ny of not more thon eO m,%s. thickness. 6063-TSA/um COLUMN INSERT 2 3 E h t .3" SOUARE COLUMN CroceC ASTM -A446 Min YP OC Ownrny $ ruc hrre sho// DEllr To END %R/M cnyty. y ELEV 606/-T6 Alum. hove orroched thereto /n o visib/e $ %t /o COTionJ on goprovad identilJcotion 34MER O �-� COL. INSERT l It in r�rria. ' T'T .x.;�.TFLL JB P.LoP4x�• T+" {i�t<+LLHOLEcfof,l,1 Helir-96o.G/SOJ GradeASlee/ASTMA446 .075 m 4: Aluminum des/y n and Stresses IMf M4 er.+o. ,, GortH-our_HOLE SSNiGA - ..4"L7iametrr_.... _ �are accord/ny Ab AAwn Assoc. /986.` I/Z$)SSH 14A SECT. "C' H sperms. with o factor of sofef {or _ , bur/ding products. y 7 7HAIL', A 9• 4'r6Fb' e , - '-,�4,/E,1/Ha>E�-_, ELEu /.687" �ONSTRUCTiOry -+ NOTES Corry o// foo l AWN/NG AVCHOR .^JJ� 4LININCr N•IC +GR I /. tings down to flim S EG T. D, -T"p SET �r a p, ;gSTM g5b9 TS- I O COLUMN SHOE / Col. u I 25hs�TTS�'Sks,. O O n vno,:FAebed Soil Mox des, soil ' KUIK ears Nmi u ��v��f��ST OPf10N .... Roo:/040 seta; y.5=.48 kS:, T.S=84�'. .r 6063 -T6 Alum. pressure=SOOp Jf. 2}�EYIDEOF pB U�►NrJ lnlft PNCNOR y• Finish :_ Ancnoe,_sho// be coofe: cL'iv,%h 2. Cancecfe SAW/have a steev Y1 =Toss / zInc eJecfr_o . /o tin PL AN 2000 si. ®PB day P P S 5 CT. ' I $ECT, CS, -.}'ram as to /O mc% thlc,�ness 75 3. Al/ lrominy shall be. o/✓�nin✓n•� ua0D FtbeT oPrloN we r 1 7.5` 75 i /2"� un lets other wlsa rnown. Slee/parts i n sha//be 9a/von/zed or poi ;fed wi fh rt /� s• I 3•�5' r ; Steo/ pr/mer and enamel finish 2.7 /7S' %'B .,kv OT SHONN, .s l p0. veli of D, a-,. V A, OR .b, ts/(w,k bolt w1//L embed. � 4' 2! SW' rrrL Ye6L1 with o/low.pul/out - A with allow. pullout 7p1L *)'.'- value ./54'lonchor valve+3o8/anchor ipv01iFIN6Ew/th -cJy/.ZH_r/Z' _COL._= rF'1 A0 x /4yaye washer foto -WTf/_3`4/COL. S5ON 'DC+0 1')rIFWW SSN 16A NNLs_. CONN ' SDL. TO CONC. SLAB .F 4x4 MOOD FbST 2-/!e pCAtoms AIO-00 L IMT-ALTEeNATW Pinish:.'.. StiFE7Y JTWE SHALL-16EHOT .9�_/" X, : DIPPED 6rAU/ANItEDCT. All -/D aµFnDbN bsecr A, OR ELEGTROpLATEO'F CNG, 2.7 /7S' %'B /0 re I h+r V F t Column Shoe 2 i P/'24X2"r/o Ga ASTM A36 Sleet. . J+"B _ .-_ _ O I 4. Sreo/ fostenvs shoU be sra; /es>5 . I O o/uminu,n or cadmium plated• 4 SMS- Sheet rnefo/ screws. SMS �+ O l S.O •, for reef pone/ SAO// have dio• ye O ELEV. /� � � compo -'/Te mefo/f'negorene washers. ' 6'LFSC64 K'E C Enc%osures Shol/nor be oJloched Column shoe2 �� -Co I(-,/ ty SHOE 2 /17EMBER ra co/r mss. A,vnm9 AncAor �' ASTM A36 -'Yea/ 6063 T6 A/ureo. AWN/N6 ANCHOR /VOTES I•a7 /4 /. AwNrA,sonchoe shol/be os I / 5 /4 5 3'B SMS monufocru red by Abesco Distri'b.Inc. 2 -Neo, side 2. Aw wms anchor mo be used /n the T f?OLLED FORMED HANGER /-For side following soi/t es: y I �yColumn// /2 (,�¢ 9 yP ASTNA36 Steel 3004 -psi Alum. /2 -Total a. sandy grovel or grove/, ==--- -- b. Sorr / silty sondr clayey sand, silty I Fascia Splice grove/, and clayey grovel. G, I / I �--- membe, may 4 C. C/oy..sondy. clay, Silty a/oy, and 1 //?x/2x/2Go. a� y ASTM A36 Slee/ I , e s,/t. -- ----- - "Tm"fe�-.nvmo" A//xOVEo SAFETY STAKE SC HED iJL E CONN. - Col. TD A:vv/NG ANCHOR N/NG-NO_OVERHRNG. G„�..,-:. �_ w...:�:..:.=..U.4 No. /0 'SP�.CN L' '.s:40V L A725. No. P OVERHANG A A840 6' Note: L/se sriahe or oAvii A9-10 -0 foto ?mer 2-/!e pCAtoms AIO-00 /Dto'l 9�_/' .9�_/" or •' ar All -/D // =o" B =P" 8 42' MODEL PR" MAY. .... No. P OVERHANG A A840 6' Slob, S 1'aAre or -0 foto / =0' 7-6` Awning AnchorAl2-10 All -/o //'-O" le!o* AWNING RAIL_ W --be AoWn6a,4 L FASC/A SPL/GE Ll -7' "'•""•" �y' -T-- -,-- ..�. RICO$ .n i 1 1 4 ne.u....+ e.•�.+r owr,.�, ER or coo um L f A - \ 4 Daft l f r3 �^ howe.ol E- -- F�,o r. 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