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HomeMy WebLinkAbout079-240-058fAr (Certificate of 10/15/ CV, L U, BEN ET S/S Lowe andotte, 2400'W Dresher Tract Road, ville Per -mit,#17 t *-l' -Mll -- ----- ------ ELEC IZS- qV, GAS SUPPORT STR RE COMPACTION TEST RE 10 PErmi 94 87MHI Ts ed PERMIT#94-1887' CULET,.BEN '6300'LOWER-',WYANDOT-T,E OROVILLE OPEN DECK/MH --.03-005 IN&E STEELE, FRANCIS 6300 LOWER WYANDOTTE, MHU 4' ELECTRIC GAS LINE Qr -Tf 47777 COMPACTION TEST REQl �(D SUPPORT STRUCT REQj3 0 Y. 03-0058 .STEELE, FRANCIS, 6300 ERWYANDOTTE, 0 P MH t a NdTES RESIDENTIAL PERMIT NO. _036-310:113 03.0057, _41 STEELE, FRANCISf 6300 LOWER WYANDOTTE, OROVILLE MHU ' q SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER +OFFICE COPY ` f Address GAS Meter By Da - ELECTRIC Meter By JOB FINALED (Da Signature J ='QK 0 = Not OK = Not Ready Applicable 1. MOBILE HOMES Date MO HOME UTILITIES (Plans) OK except #'s 3. V' ­7.arrng Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors . Soi�pecial MH Support Sketch 5. 3CS{; Location -Test -Fall -C/O -Concrete 10. Plumb.; Cir. Test -Water Supply Test Wa ocation-Test-Easement Needed (Sketch) Light Niche 6 lectricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap;-/ /" L'ft. /-/"'Nat. or / /" L "ft./ P LPG Date =OV 7. Well Clearance & Disconnect A!!!!;9ility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 (::�4f 1,vr 7 Az33rl MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Shthg-Frg-Bracing . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits. 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes Cl No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE 0_7c?_.,?,4j0 SOVILLE, CA 95965 - PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: 4� Owner's Address. Moh'Iehnme Manufacturer: Year of Manufacture: ? 4"n Serial Number or W.N.: Insignia or HUD Number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 While -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 03-0551. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 01�_ 110-113 ZONING AR 2.5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS " 7 CONTRACTOR'S NAME % 9 NONE T CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS 00 O Co-- - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ® Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ]Q Installation ❑ Other ❑ Describe Work: MU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 5 0. 00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Fling Fee 20.00 E00V OR LESS Main Service 20OAORLESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I"hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BIDS. SO 3.5¢FT. No p�IpT' MULTERANCI.OUTLETITS @7,50 APPARATUS 6 SINGLE OUTLET CSR. E X. OCCLI OUTLET OR FDRURES BAL t.so FIXED APPLNS. OR Ex. Occup. ounFTs RESID. En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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. Date d d 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00. 6 6.00 HAZ. / D. FEES IMP FLOOD �X CDF PARCEL PD 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 3 O fe Receipt No. 3G9'361 ;%166.00 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, CA_95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: � Counter Technician: Date: a Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 42. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duulicate. OT:�IVIetalbuildings: (A),Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) IK14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings .................................... 113 . S ' tion and plot plan approval from the Environmental . ealth Department in 17. City of Chico Plumbing permit .....................................................................: dA--- . California Department of Forestry plan approval aid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (J� )Z (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21.. EncroaGhment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22:,,Pee�spection for required ................ CJ 23. `Contractor's license information. (Number, Name Style, Classification) ...................... $28.* 4Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (l ,iven to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... ❑ 29.E xisting,violations and/or expired permits......................................................... U400 ❑ ant wed, ❑ M.H. Tale/State ent of Facts, ❑ L er from Lega} Owner, ❑Check to H.C.D. $ 3 Other: M Q�a( y Lc.t) D+✓ M _ issued Telephone i •- and hold or pickup. I have been informed of the above items and requirements for obtaining a building permit. Uicant: D to b ^ d� 1. Index permit application for thenumbered: Plan Check Letter 2. Additional items required (V)S Contractor, design 2wwnne , was "dvis he above data by ❑ phone, ❑ mail, ❑ counter, by VJJ Date: _ Contractor, designer, owner, w4s a vid of the above to by ❑phone, ❑mail, ❑counter, by Date: Plans reviewed by: Date: �D Plans approved by: " k& Date: 2 Structural reviewed by: Date: I Structural approved by: Date: Note transfer by: Date: Yellow: Building Division - A.P. # OWNER -PERMIT # h - oc .n MH UTIL. CLEAR NCE DATEd- INSPECT ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO 36 a PRE -INSPECTION REPORT OWNER- LOCATION: WNERLOCATION: �/- �te CONTRACTOR: C � PRE-124SPETION DATE: A.P. #- (P " 1 d 413 ZONING: DATE TO INSPECTOR: PERMIT HISTORY.( )NONE (t-)4FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Residential/0 of Units: Currently Occupied Aba]ndZVVawe Electric: Yeso Electric currently On Off Condition of Electric Gas:• Natural PropaneNone Currently On Off Obvious Problems: Sanitation: / Plumbing Working Well Working Potable Water Obvious SewageProblems• ACTION RECOMMENDED: ISSUE: HOLD FOR — Inar. Date 4L Sketch buildings on reverse and indicate location on p -roper MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 , APN:03 C /0 -- 9 � PERMIT NO.: Owners Name: Owners Address: 6 017 e- Mobilehome Manufacturer: Year of Manufacture: Serial ' Number or VIX: Insignia &-HUD Number:,. Official. approvin - g installation: Date: -- If the bilehome is moved or relocated,'the mobilehome installation acceptance shall become invalid. This - form shall not be used when the mobilehome is installed on a foundation system. 51313 white -Owner, Yellow -Installer, Pink -Bldg,, Gold -Assessor ' iU - , f, . i ' 6 ~''-^' '----'---'="~---~-�``~'�'r���-�-,--~~ -~' -~--- �=-''`°~'-~�-�=~�~-°~'~-- �^ � . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965' • Telephone (530) 538-7541 TN (Rev. 12/96) APPLICATION AND PERMIT -� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TC TELEPHONE 5,23-9026 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS SOC, CA 9II; CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS LOWM WYM= OROVIUE Energy Plan Checking Fee $ PERMIT FEE $ j 43'. 00 LOT NO. SUBDN6wN5 NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap '7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPT Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: tail Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V OR LESS Main Service . A OR LESS 23.00 r- 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.FOWER License Class Lic.' No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: PI, 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. d I am exempt under Sec. Business and Professions Code for thiss reason Main Service zuuA TO tOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5aNEW �. I ON -R SID MULTI- OUTLET 97.50 APPARATU b SINGLE OUTLET CSI R. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I.50 LNSI Ex. Occup. o xuntDTSA aEsID °en 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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. C,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. '' L/" i A� %, _!I n ( ___ote �� ' G _ anatuy> re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Fs -106. 00 Energy Inspection Fee $ Occ CONST. TYPE T TAL FEE $ 143.00 HA . FE IMP D , FLOOD X CDF �.. PARC Po HD 4SSUE. 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. 1 By !� `y ` �wu . / , Date �' ��/ �-� PERMIT EXPIRES ON ate Receipt No. 369661 $143.00 WHITE-D.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center brive • Oroville, California' 95965 • Telephone (530) 538-7541 (Rev'. 12/96) APPLICATION AND PERMIT J' ASSESSOR PARCEL NUMBER _1 11 ZONING 71. BUILDING PERMIT OWNER Lswru T, TELEPH _ SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME 1• TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ I ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-3-00 BUILDINGADDRESS CV 6300 LOTSR WfA1DOTTr , OROVILLr Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DW IJNO OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5Q�: MULTI- p61pT. OUTLET 97.50 6 R A OUTLET CIR. OWELEPPARATUS Ex. Occup. OUTLET OR FDRURES aAL @ I: o FIXED S PPLNS. OR Ex. Occup. ouTtitTs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. %,�� ` 1X -7'7,t eta, _Qato l �'–�% nature 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. MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT EI= 1 $ Mobile Home Installation Fe $ 100.00 Energy Inspection Fee is Occ CONST. TYPE TXT — AL FEE $ 141.00 HAZ. D. FE IMP FLOOD CDF PMC L PD HD SSUE / �� _ _ > / ` This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which s have By PERMIT EXPIRES ON applicable provisions to do work been paid. bate /% /03# Dae ReceiptNo. 359551- ^143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Piot Pian Attached Floor Plan Attecto d . Sent to S.D. /FN_ Owner Location AP# Plan Approved for: Sewage Disposer Water Supply: Public Private Well \ Clearance for - dwelling. Other'Pi0 raP . t— Dud 4 n4 w, • n .. _ .. ,� _ . _ � � ,, .. _ _ _ ..moi. Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date, 8/96 ""f����.'1'�-Y`�-` �,:i k --+.�,�rr�a,. ;.�Y.�„��,pp„'��.i`r`t�'�i�� r'`, .�:v�:�-t"� •. �r��'r�,f't>;�# �...� Y •rY ti i r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER tp l0 ! / M fi Proposed Building Use:0 ► 1 �f Counter Technician: Date: d Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. . Plot plans, 3 or 4 sets, signedyby the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Aff 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. E). Engineered truss -details and layouts in duplicate. No faxes! 5. Energy complianceodind supporting documentation in dupli Manufactured homa sheets and installation instructi s ) iage line informatio oor Plan,) Tie down or foundation plans, alicate. t ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate .............. ❑ 9. Plot plan and business license approval from the City of Biggs ................. ❑ 10. Letter of intent for non-residential buildings ....................................... ❑ 11. Detached Accessory Building Form filled out by the owner ................... ❑ 12. jIazardous Material Form............................................................. ❑ 13. Other -1- Remai ing. tems needed to issue the permit ,(May require additional plan review upon receipt of the following items.) 1 Pees as shown on the attached Schedule of Fees Due Sheet... l .... Statement of Intent for Non -heated and A/C Buildings ............................................ Sanitation and plot plan approval from the Environmental Health Department in % A 17. City of Chico Plumbing permit.(?'�\.. C1yah...�, ...................: �./� / ❑ 18. California Department of Forestrylan apra paid. Sent. by: ❑ 19. Planning approval for (A) Use: 4 (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permitifor driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... *27. Recorded copy of Agricultural Acknowledgment Statement .................................... 2_Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... a te30. ❑ Grant D ed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ n issued TelephoYie S 2 qs� t and hold for pickup. I have been informed of the above ii-te—mss and requirements for obtaining a building permit. Applicant: Irl �f= J Date: /—if `dam 1. Index permit application for the abov i s 2. Additional items Contractor, 8esig e , owne as advise e Contractor, designer, owner, was advised of the Plans reviewed by: , Date: Structural reviewed by: Date_ Note transfer by: Date: - X Plans approved by Structural approved Yellow Ruildinn Divicinn Plan Check Letter by 4#pDate: Dbyate:/te: / OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 A.P.# &�3�"0 DATE RECEIPT # DATE REC. SCHEDULE OF FEES DUE PROPOSED BUILDING USE % 1 — BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES 6f0dit I V (paid at District Office) (Available after Plan Check)' Gi 4x n r SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... . x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ........:... x = $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 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. /AYY,i ICANT llPursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement YES JK NO ❑ 2. I HAVE 1X HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: �� � - - SOCIAL SECURITY NUMBER: DATE: /%J D NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our.office before we are permitted to issue the permit. M OVER OB. -1 I OWNER BUILDER INFORMATION 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 -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, �, Y �w gNfipcelC. ViLira, C.B.O. M, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 1 l BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District (Oaule, oil ��h Building Department No. � � _ `"u A.P. Number D 5(e 5 /0 — 13 Jurisdiction: City rCounty Property Owner L �- Property Location/Address �` ^' L cz" If( big 0 ll (i QTre— 0 If VtA Ile, e Q Subdivision Lot No. If Residential Development L '7 No of Living Units 11 Commercial/Industrial New k Building Department Representative District Identification No. le- W)i OL (03a) ......................................................................................................... '7 i Sq. Footage �ZI Mobile Home Addition/ *Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection.: ................................................................................................................... Sq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District ; V V 06 School District certifies thatLAlc, $✓ S4dl;, (Applicant) 1 Yreet Address) U (Phone Number) �.z.�v�f (City) has complied with the requirements of Resolution No. 00 represgnting to square feet. 1 Via,. �u - / (State) /) (Zip Code) ` �� ✓ �`-' by payment of $ AB 2926 $ FULL ITIGATION $ School District Representative Date t Paid by Check # � Remarks:VKI' 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 departmentl, Pink (school district) feeform.xls I10/981dmm 0 PERSONAL INFORMATION First Name Last Name Home Address City, State Zip Code Francis Steel Sr. 6300 Lower Wyandotte Oroville, CA 95966 Home Phone Mailing Address City, State, Zip Code (530) 533-9026 6300 Lower Wyandotte Oroville, CA 95966 Present Address of Mobile Home City, State Zip Code Address of Mobile Home New Location City, State, Zip Code 4318 Big Ben Road #20 Big Ben MHP Oroville, CA 6300 Lower Wyandotte Oroville, CA 95966 LAND INFORMATION Present Owner's Name Present Owner's Address Loan: Henry T. Runge Jr. Francis H. Steel 4318 Big Ben Road #20 Blue Print of Land Layout Value of Land A.P. Number of Land Yes $ # 036-310-113 Plans for stabilizers MOBILE HOME INFORMATION Size - Width: 14 Length: 56 Year Make Model Serial # 4/10/2000 Fleetwood, Westfield 256-2K CAFLY17A23311 WF12 Decal/License No. Insignia No. Square Footage of Mobile Home LBA9346 RAD1247740 784 Amperage of Mobile Home Value of Mobile Home 50 Amps. $38,000.00 UTILITIES INFORMATION(YES/NO), Septic: Yes Water: Yes Gas: Yes Electric: Yes Additional Comments: Weight: 24,520 c MISCELLANEOUS BUILDING RECORD ADDRESS I/Le_ _ rIFwCCl�IDTIl1AI nr eii.i n....... Bldg. No. Structure Size ' Found. Wall 8 Exterior Roof Floor. 8 Interior- Type Cover a nn 10 1 w. S x o I r me c cR c�.. D nn;,r --9; '�,. po yoV =-j— — I i i i Appraiser -Dote B/. Area No 0. _ 1 �- 55 ,�19 Cost ood L. R. N. N. 5 Total Appraiser- Date "'d9 Area U^!! Cost Total Doo 19 •O0 _ COMPUTATION :6–/ 19 9 S Cost „°F__R. C; N t. I Cost / ,�Cyo 19 19 CostC. Good L.N /9 �! Cost % J R. C. REMARKS:_ 7 1?, c fv 64 ce (,imp a psi e_ , No �I15 47 — S;le- obd- due. -ry evl2i(f'o' +K# u�<(rfies �IScal/�v<rQ W�Cr.I Gf`I1envG' Fo �,nC' wit.( ._ p�oy��4 (~-e,5 b��t ��re �.r ��, //�� ' /-•' � — k C.1 £tl.lr$ . rTPp�t ✓g '�=�—�qr,��'-eJ pu.ls�[J (.h Sec. ((� --120 et, ' � S� r� iC � 512., _ lines � .�Q. c.r.� � � `4 �•- �_-1 f ..._.�� -� � $�Ti.11�'�( Cal iia 1 G ?� r+LCi . s,��y►s� �.1-es5 cre f rnA� rKs ��11e j._bw+ �to-Fc��vc�f . A+GPi^scR ie s� tit (� (' <i it U 5 `1 �3 -L a -u !v/g7) �'Ic s ID rzY4. rr,�s a ((4 d)t S (f Na o lea A�kl /if (Iu Lo -5 7 -fl -7- 0+'.(,4-I s � +l�cc� vzS� as o�F• -(� � ���e 1�5c -i-'gS' /7'GiG{� �c�lGi /iEiScttPc/Cc� fG+ �s�1� �� %�GEtTL� S Q.S oil c YEAR NO. ? �s $7 I PRIMARY LAND VALUE COMPUTATION ASSMT. PRIMARY LOT H/ SQ. FT./ UNIT VALUE TAXABLE ASSMT. SECONDARY LOT H/S SO. FT./ YEAR BASE YEAR VALUE ACRES VALUE ADDED VALUE YEAR RA F' P b g5 - E YEA . VALUE ACRES oo WE( PARTIAL OWNERSHIP CHANGE ASSMT. YEAR EXISTING EXISTING PORTION RETAINED BASE YEAR VALUE RETAINED VALUE EXT.% _ X X — EXTENDED VALUE TO YEAR TRANS. DATE VALUE PORT TRA -AND COMPUTATIONS X MPROVEMENT COMPUTATIONS X _ — _ X X — X = __5F_ = X _AND COMPUTATIONS — MPROVEMENT COMPUTATIONS X .AND COMPUTATIONS _ --- _ X MPROVEMENT COMPUTATI DNS X .AND COMPUTATIONS X = v4PROVEMENT. COMPUTATIONS X = X = AND COMPUTATIONS _ X X �PROVEMENT COMPUTATIONS X = X = _ X X X X 'po ` t oil 01,00 aA, rv`r -� Mob ilehome Manufacturer: Manufacture Year: 2 D O O If other than single wide, furnish Setup Model Number: ti Width: / y (ft.) Length: <; 6 ft.) Tagalong or Expando Size '0 (ft.) x 'Q_ (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[>C] Other: SUPPORTS: Concrete block[ <] Other: AL Provide Tie Down Specifications for aU Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line I Line 2 Main Beams ............................................................................................... Line 2 ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line i ...............................................Eine'l ine 5 Tag or Triple ine 4 Line 1 Piers:" Size minimum: r 1 x Spacing maximum: I C` From ends -maximum: Line 2 Piers: Size minimum: [t2 Spacing maximum: ,r0 G ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [/Z ] x [j]. Each side of openings with width over: Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum. ` BUTTE COUNTY �UN.�F9G DEPARI9N�? APPRObED� ,1. -Owner's Name: L'o< ti C i , SA S 4- G C_I e 2. Assessor's Parcel Number: d 3 o O La w e -r Wc,a Wo As::e4Z *k 0.7 3. Installer's Name: Fr-c�c�s 4. Is the site currently under permit? Yes[ ] NoVj Permit No. 5. Is the site an existing site? Yes V] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? ,5; 5 Amperes. 7. What is the mobilehome site circuit breaker rating? ,SO Amperes. S. What is the electrical rating of the mobilehome site? I'7S Amperes. 9. Is the main service remote from the mobilehome site? Yes PCI No[ ] If it is, what is the rating? I z S Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes [kI No[ ] If yes, please identify the load and size: a) The mobile home site: 1 Load- . So W eA Amperes- So b) The main service: Load - 11. Type of gas service at mobilehome site: Natural[ ] Propane[r] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3/y inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 2 I (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 109'5 8.5 AN r .-E Z -TIE DOWN SYSTEM P 'SIGN LADS::. *WIND LOAQ -- 15 PSF 1. THIS TIE DOWN SYSTEM.IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHAH BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACIURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) -CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN 41 WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4.' THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING 10 AWS SPECIFICAPONS. ELECTRODES -370 PLATED -ASTM A36. - BOLTS=ASTM A307. 6. THE E-7 TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: LIQHT HQRI ONTA VERTICAI UPLIF IV 2010 (lb) 6000 (lb) 891 Vb 21" 1825 Ib)) 6000 Ib 801 Ib 25" 1510 �Ib� 6000 (lb) 664 �lb 28" 1419 Ib 6000 (lb) 629 Ib 36" 867 Ib 6000 (lb) 385 (Ib 7. ' ALL' METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. B. WHERE STAND IS PLACED ON -EXISTING CONCRETE SLAB, 1/2' SLEEVE ANCHOR BOLTS MAY BE -USED TO SECURE•PIER BASE PAD. 9. ATTACHMENT METHODS FOR "C" 3 "J" BEAMS SHOWN ON SHT. #2. 10. THE LONG DIRECTION OF THE 1-2 TIE: PAD (37") MUST BE INSTALLED PERPENDICU ?T A ISS M. �IJA. 179113 =� �t r:;lb .44 - NZ# l� :t�C&5_01­ ABESCO-GUS GUARD COMPANY 58S1 FLORIN - PERKIN3 ROAD SACRAMEM, CA 95923 PH: (800) 382-8831 . FAX: (916) 383-5207 SINGLE WIDE COACHES • . OOUBLE/UUITIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MON. / I1' MAX. =: VARIES 10'-70' EVENLY.SPACED-BETWEEN 0 ❑ RIDGE BEAM.SUPPORT AS REOUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) ❑ ❑ .O O ❑ ❑ F—Z TIE SUPPORT PAD--- _ j a (TYPICAL) iI U JII �_� CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACIURER.. LENGTH NUMBER OF E—Z TIES _ OF HOME 1 B" HT 21 " HT 25" HT 28" HT 36" HT 40' 4 4 4 4 5 50' 4 4 4 4 6 60 4 4 4 6 8 70' 4 5 6 6 10 STATE APPROVAL ENGINEERED TIEDOWN SYSTEM APPR-OV0 SUOKCT TO CORRECTIONS R'OTED Aprroval does not wtborite or approvo ami omisslon or deviation from IggWrements of applicable Stale ItIms and regatotiuns. Stme of C.fi vnia DepaRm^et�iHausicgrroC_�::'�^'tyDev;!cEment 8Y Ignaturol Tbis Plan Approval Expires % -. -•_-- Jf THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS SOF SECTION 1336.3 SUBSECTION. (a). WAYNE T. POLVA00,_ PE -LISTING "NO. 99001 SHECT 1 of 2"x2"x3/16' STL. ANGLE 1/2" DIA. HOLE (8) PLACES 3/8" CAO PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM - (8) REQUIRED 1/4" STAND BASE Tom- ABESCO ABS PAD #503 10 5 -DETAIL "A" 1/4" GRIPPER PLAIE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4"- BOLT WITH NUTS (4) REOUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STANO WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD /503 A 45 3/4' DIA. it 18" LG. (4) REQUIRED + o- 4 30.00 --- STEEL FRAME -- TOP VIEW I 1/2"x1 i/2"x3/16 x2': J.S. (4) REQUIRED (*�Ptcs - 36" MAXOF PAD ` TO BOTTOM ------------------- - - - _L.. / SIDE VIEW- / 11/2"x 3" C.R. LOCK Pl," WITH 01/8* BRIDGE PIN 1-1-Mulm i---- 10.00 -- 0 0 10.00 t. 0 09/16 HOLE (TYP) STAND BASE TOP VIEW 1/4"xI-1/4 - TEK STS (2) REQUIRED' 1/4" GRIPPER BASE 1/2" A307 80 (4) REQUIRED 5851 FLORIN -PERKINS ROAD SACRA aNTO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "C" FRAME 1/4" GRIPPE PLATE 2" CHANNEL EAM ATTA— CHMENT 1—.I "J" FRAME /4•x1-1/4" TEK SIS 4) REQUIRED 2" A307 BOLT REQUIRED 1/4" GRIPPER BASE x-1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z ' TLE. DOWN_ SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 2 of 3 0 11/2"x 3" C.R. LOCK Pl," WITH 01/8* BRIDGE PIN 1-1-Mulm i---- 10.00 -- 0 0 10.00 t. 0 09/16 HOLE (TYP) STAND BASE TOP VIEW 1/4"xI-1/4 - TEK STS (2) REQUIRED' 1/4" GRIPPER BASE 1/2" A307 80 (4) REQUIRED 5851 FLORIN -PERKINS ROAD SACRA aNTO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "C" FRAME 1/4" GRIPPE PLATE 2" CHANNEL EAM ATTA— CHMENT 1—.I "J" FRAME /4•x1-1/4" TEK SIS 4) REQUIRED 2" A307 BOLT REQUIRED 1/4" GRIPPER BASE x-1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z ' TLE. DOWN_ SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 2 of 3 L i INSTALLATION INSTRUCTIONS. E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. _I.=.BEAM ..:;;- . .,;•�M,7.j;;,.�;..1;�;�_; ._..._.. . 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS. CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. S. RAISE THE TOP PLATE USING TME ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE 8OrfOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. !Q -BEAMS AND J -BEAMS S. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREW;; BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER* PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) 012 S.M.S. OR WELD (2) X112 S.M.S. ANGLE IRON — I Yj x I lh'j 3/16 NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL WAYNE T. POLVAQO, PE --.LISTING,: NO.. 99001 SHEEr 3 of 'taw "rAlm" as mads at. pwads pus Nsak+sdn pwOno •o ww sweet s% •pue qoM po*mp «s w *•mss su�w psq 'm oon am so= rmwav m retrarswzt MOTfOFt .� Ono: s OTfOs .1 ci Nouvonddd avol *pw4rN wM " mom why mma s w" s0! mss � 'ta sari , tw�r+d vsaa,,. eu��eq pwl s � sen et P� I�r asst w "p" � Y►t *M"m :+"rpww■d tits "Wo" R own" "is NRW~ .st so Is "Wo "aW~ h p«►"M M p" *"M •ewes rwwmeps as h poweds /"MMAmm"W""a "Mm pw M 'amp w wN w Al�gere /w �w� IwiM y� �w� psda�••rveesrdds,wpo ,ww. w PMS *="M N*RAV"ememM""reqo* '"W"o"Ot tisdw1ft"" Owe so Wool" wd pss, s.N■pw� *Wft e0 ww uww wM �� gel�ere� �t �ws r••t '�• �s Rolm eta aO uollGXW sot i* "."Mw mm ysM1'smcsl snsns'uagamsssh WORM sit We sslPadad lei W44d QOM 'GSd=og of P%Wls 'Z NCM -L) Ll -'SV LO MW qtm Phos JC* :(N sPOJD) 01.080 VUSV sq P49 spun SOMM MOM JC4 MUOW lnbw tAOus= srtlsswdwoo stIL do • lettltuOu M SoMmwlp ANOs " yoddns stuoysllgow JO1 pssnsq lou pays �tau �� ssNn *m NAt asMopoy 14BIlM SRN Atp0 Jo spin mcM J WJ 4Wq do* POom sasfdsj phos .t+ stA'uunloo Uoddns jo dol stA i* pssn usy%'mn www :sOusnbss. ps,Issp Atn ul psduwn 'uoddns p lyOlsy PsPpf URG Ol *m .OtxAM Olssq «A .& M Peon sq Amu Ouq A t 'splM .A qm Rni mw Menu= PnO: **N 4xq m; us wMw')M 4x+1 W umWMW '.atxAM sq My uoddns stu04@IgC i i0i Peon sq o1 pun tiuosstu ONUMM ftnsq Peq "04 PRPUM jo M nnuWp s41 onFagsPJUONORN :mc"q Psl�pul stp to suo s41 HALL uTUTY T OPr ONEAD OF-DROOM a — 120.9 sa-pr r— `i' BATH 4 art LIVW4 ROOM T Aa A6&tss ® 0 LZL 0. i3'-9'/ A A 14'-10' WdA"r 'AVE 9ZLEPIr 4 ca ce-V W/ oPt 91 EN MAIL Oct Q 9s -4r oF-r. vem VVINDOW/ DOOR SCHEDULE W -jug I GLAZ vEmr ma s= oEsCiavr+otl MAZ VWT HEN 41.0 lepl-6 FMCEPr. (SEE ELEcr SPECS) aEcr AvjL am $ SMUN 4XJ0SUPMXAMl*M Z '7-0- L16ffFVMJRE AM SUPPLY w a MUM RE"MER t" EMAW & CEMM FAN %WARWAU . 0 � '7 _j Mom DETE=R FM rw9r%o am f 'roaue K TdWEN N -- 11 FT. OW* 176XEA A0 5L5,=.r-r- WALK- IN-13AY FEDRALmANuFAcruRED mo,. HO& USING CONSTRUCTION SAFETY STANDARDS JUN 0 a 1999 CD M 6 Ca „fir C= bu �Io L -A -N -0 --ll FLOORPLAN 1.1'-4" X 56-0° 'oWTJ'rrlF-LV REV. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 '4;Sv r� Recorded I Official Records I CountBUTTE CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Marti 10:04AM 17 -Jan -2003 I Page 1 of 3 REC FEE CONFORM COPIES AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required 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, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 56G A^t�B�52-0 d l S ce 16� f 1010 Date f �- O PROPERTY OWNERS: State of California County of ,�L/j�+�- On al -19- O -T before me, personally appeared 4Aa.,-j& J , Ste e_ /e personally 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. WITNESS my hand and official seal. ti RICHARD FEUERSTEIN COMM. #1.299529 Signature / Seal: , a NOTARY PUBUC . CALIFORNIA e BUTTE COUNTY R My Comm. Expires April 13, 2005 A.P. # i91 13.00 1.00 3.00 3 ru/ Preliminary Report Description The land referred to herein is- situated in the State of California, County of Butte, and is described as follows: PARCEL I: A PORTION OF SECTION 34, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT A POINT ON THE WEST LINE OF SAID SECTION 34, WHICH POINT BEARS NORTH 00 11' 00" EAST, 1781.86 FEET; THENCE ALONG THE CENTERLINE OF A 60.0 FOOT ROAD EASEMENT, NORTH 890 25' 30" EAST, 710.0 FEET; THENCE NORTH 00 07' 00" EAST, 910.0 FEET; THENCE NORTH 270 41'.00" WEST, 270.0 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING NORTH 270 41' 00" WEST, A DISTANCE OF 240.0 FEET; THENCE NORTH 350 48'43" EAST, 728.0 FEET TO A POINT ON THE SOUTHERLY BOUNDARY OF THAT PARCEL OF LAND DESCRIBED IN THE DEED FROM MORLEY HENDERSON, ET UX, TO STAYMAN A. BUTTLER, ET AL, RECORDED IN BOOK 543, PAGE 358, OFFICIAL RECORDS;. THENCE SOUTH 470 07' 30" EAST, ALONG SAID STAYMAN A. BUTTLER, ET AL, PARCEL, A DISTANCE OF 200:0 FEET TO A POINT IN THE NORTHWESTERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED TO EARNEST BRYANT, DATED DECEMBER 7, 1971, AND RECORDED DECEMBER 7, 1971, IN BOOK 1718, PAGE 445, OFFICIAL RECORDS; THENCE SOUTH 480 59' 00" WEST, 250.68 FEET TO THE MOST WESTERLY CORNER OF SAID BRYANTPROPERTY; THENCE SOUTH 390 44'50" EAST, ALONG THE SOUTHWESTERLY LINE OF. SAID BRYANT PROPERTY, A DISTANCE OF 323.19 FEET TO THE MOST SOUTHERLY CORNER THEREOF; THENCE SOUTH 620 06' 00" WEST, A DISTANCE OF 540._04 FEET TO THE TRUE POINT OF BEGINNING. APN: 036-310-113-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH SIDE OF A LINE BEGINNING AT A POINT ON THE WEST LINE OF SECTION 34, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH POINT BEARS NORTH 0° 36'00" EAST, 1781.86 FEET FROM THE SOUTHWEST CORNER OF SAID SECTION; THENCE FROM SAID. POINT OF BEGINNING, NORTH 890 25' 30" EAST, 710.00 FEET TO A POINT DESIGNATED AS "A'% THENCE CONTINUING NORTH 890 25'30" EAST, 976.78 FEET; THENCE NORTH 88° 20'04" EAST, 525.34' FEET; THENCE SOUTH 40° 24' 52" EAST, 94.27 FEET; THENCE ALONG THE ARC OF A 130.00 FOOT RADIUS CURVE TO THE RIGHT, WHOSE TANGENT AT THIS POINT BEARS NORTH 490 35' 08" EAST, THROUGH A CENTRAL ANGLE OF 31° 05' 09", AN ARC DISTANCE OF 70.53 FEET; THENCE NORTH 80° 40' 17" EAST, 204.70 FEETTO THE BEGINNING OF A 200.00 CONTINUED Preliminary Report PARCEL II: CONTINUED FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE 830 35' 50", AN ARC DISTANCE OF 291.81 FEET; THENCE NORTH 21 55' 33" WEST, 312.79 FEET TO THE CENTERLINE OF LOWER WYANDOTTE ROAD. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EACH SIDE OF A LINE BEGINNING AT POINT "A", CONTAINED IN PARCEL II, DESCRIBED ABOVE; THENCE FROM SAID POINT OF BEGINNING, NORTH 0° 07' 00" EAST, 910.00 FEET; THENCE NORTH 27° 41' 00" WEST, 270.00 FEET TO POINT "B"; THENCE CONTINUING NORTH 27° 41'00" WEST, 240.00 FEET; THENCE SOUTH 79° 39' 00" WEST, 240.00 FEET; THENCE SOUTH 70° 49' 00" WEST, 250.00 FEET; THENCE SOUTH 89° 25' 30" WEST, 454.00 FEET; THENCE SOUTH 850 25' 15" WEST, 430.57 FEET TO THE END OF SAID EASEMENT. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH SIDE OF A LINE BEGINNING AT POINT "B", CONTAINED IN PARCEL III, DESCRIBED ABOVE; THENCE FROM SAID POINT OF BEGINNING, NORTH 62° 06' 00" EAST, 540.04 FEET; THENCE NORTH 750 02' 59" EAST, 220.26 FEET; THENCE NORTH 401 59' 00" EAST, 457.98 FEET TO THE CENTER LINE OF LOWER WYANDOTTE ROAD. 036-310-113 6300 Lower Wyandotte 8/7/98 OROVILLEIN THE MUNICIPAL COURT GRIDLEY . . 1931 Arlin Rhine Dr. SOUTH' BUTTE COUNTY JUDICIAL DISTRICT. ❑ 239 Sycamore (P.O. Box 1100) `. Oroville, CA 95965 COUNTY OF BUTTE, STATE OF CALIFORNIA Gridley, CA 95948 (916) 538-7747 (916) 5701 THE PEOPLE. OF THE. STATE .OF, CALIFORNIA .VS. BEELJMIN. IEE CULT Defendant.. 0 _ NOTICE, SENTENCE; COMMITMENT FORM CASE NO. CRZZSSZ WE s t G -, •irr}e',; <�'� ffinj JUDGE YOU ARE ORDERED TO APPEAR ON AT ' PM/AM: CHARGES'. 1018, 1048 Title 25 ❑ FELONY . ,,;,,) ❑ MISDEMEANOR .i r 21INFRACTION ❑ P 8 R ❑ Co. ❑ Co./City''= ❑- City '❑ Fish and Game ❑ Biggs City ❑ Gridley P.D. FOR: �,} _u ❑ Retain Attorney ❑ Further. Proceedings ... -. ❑ Pre-Px Hearing ❑ Motion ❑ Entry of Piea/Arraignment ❑ Dispo/Setting ❑: Preliminary Examination ❑ Diversion/Hearing/Review ❑ Revocation of Probation ❑ Pre -Trial Jury ❑ Court Trial ❑ Defense Attorney _Admit or Deny _. Hearing. ❑ Jury Trial ❑ Probation/Sentencing �- ❑ Report to Probation Department Forthwith. (Address.on reverse side.) Sr% p V �l ❑ Immediately contact the Office of the Public Defender..as indicated.. CUSTODIAL STATUS ;..fi�n•-� yy++�� , : gg�{ , •, 1 ; �: ::- 7.i'L':."b';4�?9v..�d..?: �sry•C a: i'F1 *'i... Yq 1t%: i _.t ,a ::u 4 ,�.... ..s.. to custody. of Sheriff until -next appearances:...V1 , :. x .' - • Bail $ ❑' Remanded ❑ Remain at liberty on bail ❑. Released O.R. t Do Not Release Pursuant To• S/C Order —84429, PMP,*SEC. 2. Good SENTENCE AND CUSTODIAL STATUS ... .... ' Cause For Retention Is .f Numerous FTA'S- Pay fine .of $ Other: .. ... a...i._ F .as ... .. ._.. e... .. �... ❑ nd/or file proof of correction and pay fine of $ - Forthwith , ❑ . Payable to Clerk of Court by or you must appear in Court that date at: ` .. _ m. ❑ Jail: Serve hours/days/months.in jail; with. credit for time served: ❑ Jail: Time Served. Sentence to be served. consecutively/concurrently. with y ❑ ❑ Stay of execution granted until atand defendant. ordered to surrender to Sheriff at that time. (Address on reverse side) r ' f ❑ Jail: Serve weekends :commencing at. ' m to at m. and each weekend thereafter until served t ? , ` ❑ Wbrk hours on Court Wbrk=Progr•-armdicated pb stte �� To be completed and file proof with the Court by "`'" � ` at ~t m or appear. t:+r • ' a ,+ w.• ;y� - •�,4s •r k- rix. '"«'� yr r �,,, y` I.certify the foregoing is a true copy of the nd Judgment reered oii the above date by the above Judge t' •' AS' SSR •. _ T6 1,5 :'t� +11.,`� u ,. r .� a .yam• +s? CLERK OF THE ABOVE NAMED COURT�� By�"al� fir• G' }s A•T �;},.,� } ; Y t .peputy AM iF'�3%.."'ti-.,:."tii'�r .n,.^'."k duax't�'w"~ '`a";� r-�tie.'•S'r, i'.yr!....G'•'S=c„�`-. j'e.: . ; j;TO THE SHERIFF The forgoing certified -copy of judgment in:the above entitled soli . yourauthority.for the execution theiaib & �'d1 jy. i -k1 i.. ;t :. „s,: •._.,`.i•K,t.r�,x?�.wr �'`AM'r •*vk.,h��o %7';'��•5"'+•,1�?vti '.•i;,. tai'+"..i''r '.[�• {Yt�. ,�,k-�r�"a.Yt,Sv Stu. �, �: DEFENDANT„ BEING RELEASED Y=ON_HIS= OWNS RECOGNIZANCE r AGREES TF1 T �z(t) t lei swill appear , a all t mes wand places ast 1i�'ordered by 'the Court or`,-magrstrae` )� a will�not •de rt % State without leave of the Court (3) -he will'.waive-ext "" rk :fails -to.a ar"as ordered+and : a outside he State of Califom u`4` Ccu t.-orti; trate o ttcom tent'F ns ictan biPPe �aPPrBllended r, aaa. �a r+rsw �'3�a) 5i�"rra Arm rr r �yrx� �wdK may revoke the order of !elease and>erther�retum himytos,custody or require'that he give bad or-�other^assurance of h*.appearance >; •- r c. fit. ..qag r,NQS•- �a, « � -'tdb w..sig.+' ,.•r. .' A:,iCi2GritM�'i�+r,at",,.R•' osut,.wt t• - as,? ar..!ewrr"+'r:a. •vy,*+r�a t...•g'.,. ���� as•'provided 2, true l0chapteriyl �ofthe�PenalCode s(5),faituro to kappe,ra R�anor constduesa anew, may „ 4h4. -,S,.-punishable .by. 6. months.Zm anted/or,$2300.00zfine a`nd (6) failure to appear on a. tebny constitutes a nein ebny pu , ?>,^ . i'=••4444. �,.. - .,+a ^" a �f r .tt Z"�' '7 9' '+i+ ya�<, 4 a$t r �t by up to 3 years in and OOO rmfi s� a�'`i �^ �`'; a ,�i'i'ff{Yt,`•+:.: rr r, ryw�?ry'cr AR i , ? '�Y fi�''bOY. a -4444 Sqn F .r ♦ '. �''t *.1+ �y,•�dArF ' } 'x"• "w'? J"' 3.f�ti r "�. "" t, °3r: '�y'3" r;. . f' -ti >+ , ,"". 1 ^ '' ,'�' ,a•�.yb: ,.'' uh ..i.'LA' .{ j'j'F 'Pz� .r. ,�v gi Yi:'"�, L.' ;c i y.,. ;?;. ,i''3 .r '' fxpr''�'',.t' Y:*'�Sr�'a +t�Kat+'a , .s i'+�-?•s "EXeCUted On - = 'i's.'r, _ .+ c -a "'mr.. etAF�`' � "�+X`T•.'r r7- ? 7�"•l�'!'y���(.3Y., L r t7, C 1,ar -". •,. i "* S. Le -' t4"' th.- ;. *n'�Y,fs•, < ty" Jp y f •" z�+,., L 'Y' •io ° ryh'u "'tv y5? fl r, ,.,+,�'•�.., ' '•'y '{,. S. <. -- - y^ r� to %c •4 a, A•fE ry r y A il-3a he •.t..r ',.> ,`•'ipi 'k''. +� f< ,Witnessed by•' ° Ri eyaz. h jkx* t4�' f s i~r r,.•• e� 3 ^u# s� s` ';y. . Yn W ze 7 s M1 FM•.7 ti�J.r, v.Tu i•�L'sf.�4iy;1 �3 -:ih •.. :.�+ .. �,'_; ..;...q•+._i,^�{�Y7: . ?a.:�'i+? r:. � M..: a:�3'•.L "'' ai�:l�5)'f`h`r1°:����F1:�SCR�� , OROVILLE IN THE MUNICIPAL COURT GRIDILEY 01931 Arlin Rhine Dr. ' SOUTH BUTTE COUNTY JUDICIAL DISTRICT ❑ 239 Sycamore (P.O. Box 1100) Oroville, CA 95965 COUNTY OF BUTTE, $TATE-OF CALIFORNIA 2 Gridley, CA 95948 (916) 538-7747 (916) 846-5701 THE PEOPLE OF THE STATE OF CALIFORNIA VS.' Benin Lee Defendant ' NOTICE, SENTENCE,"COMMITMENT FORM -aM460 CASE NO. ! / _ -AP fs :O3 --;G O�I,�:�•F' t':.'.. DATE t.ci!T1 Spa .ci3.f. i .. JUDGE i f _. = 24-649 31-8 BCC :._.....YOU ARE -ORDERED TO APPEAR ON AT FWAM:_CHARGES ❑FELONY_ ❑MISDEMEANOR., � INFRACTION .._... �" _i.I. r... .,, !•.x'_..i T'::;Eda,t, ��1,. ui-ci r'c?: z.. �:r •1�. ,- ...�•- �'f�.: .» 'i..�.•., ' ❑ P 8 R ISI -Co.- O'Co./City, -t❑" City ,; i o::Fish and Game. ❑:Biggs -City r:. ❑ Gridley�P.D: . %•'� ..,. ,. --Sii�.31��,::.<..F..�IIF'•i `si �-J .. _. • : _�.:. :�: >-J.�itr.v :��..., FOR: i ; :.,ts ❑ :• . x� ❑ Retain Attorney,❑'Further Proceedings.a a ^Pre -PX Hearing: `-Motion 71 Entry of Plea/Arraignment, ❑ -Dispo/Setting: ❑%Preliminary Examination• . E]±Diversion/Hearing/Review.; ❑ Revocation of Probation El Pre -Trial Jury ❑ Court Trial, []'!Defense Attorney; _ Admit or Deny _ Hearing,' ❑sJury.Trial.� '.Probation/Sentencing; ElReport -to Probation Department �Forthwithkp(Address-on reverse-side.�.. �. ❑-.Immediately,-.contact-theOffice•of�the..Public:Deferider.•as:indicated::_•_:::_ . 1:/�•'" /I CUSTODIAL. STATUS;.,-, - Y /��7%%'' �/�-• C� mss--. ..+ r^�tl=_:"{�. : ,. Jt.2•�:•."._a-.e'•!e'^°'si.r.:: n-i•d'dik..�c✓«2 Grp. v.• .',.'-tX .'.r. e_ .1 iY Remanded to custody -,of Sheriff"until next.appearancel: 'r._t,, �-^ i' ir......,s'si': __ ❑ Remain at ibertyonbail:: ❑ Released:O.R:. Do:•Not'Release: Pursuant.TotS/C=' Order. -84429, PMP,' SEC:.2�Goodt. SENTENCE AND;CUSTODIAL' STATUS: Cause ForRetentfon •Is. ,_'Fi ora Numerous.FTA'S.- Pay,fine of:$r. " l - Other ., .. _. 7ri Z1. ❑' /or file proof of correction and'pay fine of $ Forthwith ❑ Paya to Clerk of Court by or you must appear in Court that date at ❑ Jail: Serve hours/days/months in jail, with credit for time served; 'i" • • , „. ❑ Jail: Time Served. _. . ❑ .Sentence to be served consecutively/concurrently with ❑ Stay of execution granted until at and defendant ordered. to surrender to Sheriff at that time. (Address an reverse side) E] Jail:. Serve weekends commencing at m. to at .m. and each weekend thereafter until served. ❑ Work hours on Court Work Program at indicated job site. To be completed and file proof with the Court by at m. or appear. I certify the foregoing is a true copy of the judgment rendered on the above date by. the ve. CLERK OF THE ABOVE NAMED COURT. r _By Deputy ` y TO THE SHERIFF: The foregoing certified copy -of judgment in. the above.entftied •actlon is your authority for the execution thereof.. F DEFENDANT, BEING RELEASED ON HIS- OWN RECOGNIZANCE AGREES THAT (1) .He`will appear at all. times and places as. k�ordered by the Court or., magistrate;. (2). he vnit not depart the, State without leave of-'.the�Court; (3) he will. waive extradition ff he ~fails to appear: as ordered and is apprehended outside -the State of California, (4), any'Court or magistrate of competent `jurisdiction revoke th_e=order of'release�°and edfier�retum him to custody -or requirethat=he gme-bail or -other assurance of his, appearance y J e t4+ y r c y- (5):z 4 .-a -e, r a8- provided in part 2 title 10 Chapter 1,; Sof the Penal Code Y(5) faflur to appeara�a made reanor constitutes a new* misdemeanor , _. y punishable ,by 6 moot ''n fail and/or $230000 Bre and (8)`fadure toappear on�a tebrry constitutes a new felony punishable.~ by up to 3 years in Sta n 33 m fares •:. - .`tea , I-•s."t'ue•S•'rar Rs:4r-..r�` i : /`/.^ ;4^/�- s•• f y-ra { w.7 ..• � i ,r .. -...r ca w`, '''.L...,Y ,;ew+ r -^g^• o :Y .�� +e r� �a� ,•p� . 1 :• .. , � ,� .. �„ • i y r y�-it L� '�•& '�..t`.jy''tc - f �j� '4•} s...z=.� --.—M Defenda. ` - Executed on'' 4 � � `; - • - `�'r "• : _ f `C . r ..:, K e, ..y.- y .' �,. 5�- . SI.� Kr�F� " Witnessed F �Y QD.70Y _,a �N: `i�'�.; r,._ .... .. .... __ _,•.. _. t, . - ... �.•_, .:�'L' M £.;:�'W.'."._`?�': tZ ....'K`.i..... �.?"�!'.....'�..-tt -- •--- --, ._ ' t' _ ,... V. _��'"s.." a _ 5 : �4_ •�_".''� �.i tiL.,s �`s'. OFFICE COPY Address . i i GASB �Z Meter By Date I ELECTRIC Meter By Date Temp. Power Pole Called PG&E Temp. Else. Service Called PG&E a: l } Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK 3 = Not Ready MOBILE HOMES MISCELLANEOUS V. dy Date MOBILE HOME UTILITIES (Plans) OK except #'s I Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Y 1. Zoning Requirements-Setbacks-Easements ( 1. Zoning Requirements-Setbacks-Easements . So' ; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel 9 L ewer; Location es al - /O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails . W r; Location-Test- ement Needed (Ske h) -4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Z� le tficity; Locati - earances-Grnd.- Amp-Concrete Shthg.-Rfg.-Bracing as; Locatio -T -' rap: / /"L"ft. i 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures /"Nat. or L"ft./ /"LPG 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. g 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-81 Dat rd-131 Date ' 10. Roof; Shthg-Roofing } Card-131 Dat - and-B1 Date F 11, Ext.; Steps-Doors-Landings Date OBILEHOME IN TALLATION (Plans) OK exce t #'s 1 oning Requirements-Setbacks-Easements i Card-131 Date Card-131 Date c . Footin s' Size- acing-Marriage Line Card-131 Date Card-61 Date 0CS st Demand-Valve-Connector i CIle ci MH Test- rossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s rain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6._Wat9"r; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability Wateradd.Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- 0,`L_-8. and Electricity T ed• Dead Men -Lining p ,'y W. Exits; I'nsp.=Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 8 , ert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit.Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater Card-B1 Dat and-81 no Date 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-131 Dat and-131 Date 9. Health Department Approval / 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-131 Date /// Card-131 Date Card-131 Date = OK �= Not AO plicable RESIDENTIAL (Single and Duplex) = Not Ready P , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -81 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -Bt Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance < Owner Locati n AP# Plan Approved for: Sewage Disposal __/Ir Hold final for: Final clearance O.K.'-for: Clearance for _ -"�_ bedroom mobil home. Other NOTE * * * FA Sanitarian Water Supply G✓Z/� Water Supply Water Supply ate A MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 / PERMIT N0. c 79 ``fK 7 Address or location of mobilehome /- 10b J-hu)1P'r U) lA'Ar+cin � � P Owner's name �R RIO -0 �1t) let ^ j Owner's address I ,d • / r� � 0 r- 77 Insignia or hud number Fir 4/15 Manufacturer's name W PS p i 1� C� Serial number of V.I.N. b O Year of manufacture i-71733 (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. AP#(e." . OWNER �2M PERMIT 4 M t UT IL. CLEARANCE DATE INSPECTOR - ELECTRIC GAS Support Struc. Compactioi Test -Reg. _ Service OtherPipe YESI NO YESI NO Size Load Type Size Len th C,� Js_ ldft 111 wo , wl_ :� o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/ PERMI �No. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 0_Z_ ASSR :y C L NU B R _ — 'JrOwN Z NG BUILDING PERMIT L6 V1 ]TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE S M LING ADff ESS Q0 X�'© v i CO ACTOR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES�- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 II -- r� S �l C'►'� �`-�- Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S (.G V 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel F] UtilitiesX Installation[—] Other ❑ Describe work: i�(l� /L/ _ Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 ` Main service 10ov OR LESS 100 AMP OR LESS 10.00 0,Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business a Professions Code and my license Is In full force and effect. tense No. ClassificationEx. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6' , � AB/20sgft New CCONSTR.MULTI-OUTLETI NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. OccupOUTLETS OR FIXTURES20®50t BALI 30 \\ EX. OCCup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , Permit Fee $ _ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I �avplaced on file with the County of Butte Building Department aficate ofWorkmen's Compensation Insurance or a CertificateCooling ent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte tome the above-mentioned property for inspection purposes. I alagree to sa , indemnify and keep harmless the County of Butte against liabilities ' dgments, c sts, and expenses which may In way accrue aga• County in co quence of th granting of this p_er_i Signature of Apphc t Owner[:] Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �� S OCCUP. CONST.TYP! I PLO PARCEL �• PD ND Is u This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR F PUBLIC BY PE T EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS ate �✓ �� (r r/ Receipt No. Lt WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT firA;; . 7_ ` ,gsyH m I qqyV"_"% _qw" Td .:ti{ P illi'+ :-� '} ;°! � ..L :.'r . + . , �i '�gr�'� �: j �r im * c !' ► � j `�. �41� COUNTY OF BUTTE-bEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .' 7 COUNTY CENTER DRIVE OROVILLE,�CA_LL_'ANIA 95965 - TELEPHONE: 916/5`34, -454y, PERMIT APPLICATION DATA SHEET Permit No. i OWNER A. . P No Proposed Building Use /'/// /A Building Inspector Date �� U At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . _ . . . . . . . . Plot plans in duplicate./ �eD e, signed by preparer of plans. . 3. Complete plans in dupliclicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. ,. --/ Fees of $ . . . . . . . .;I :Z `' Letter of signature authorization. . . . . . . . . V 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner,&Z/oz —15. Improvements may be required. . . . . . . . . . . . 16: Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) j7. Pre -Inspection for Required. Building Inspector/ 8. corded copy of Agricultural Acknowledgment Statement. 9. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the per p o �js�j as follows: —Mail to caner, Mai i to contractor. Telephone `S ro` and hold for pickup at office, Deliver w/inspector. Appl an r �� �• 'Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedprior o er it su : Circle new item not checked above). 1. Index permit for above items No: - 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone Mai I—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by - Dath-4 (--V Sets of plans on hold in File cabinet � AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,.CA 95965 Phone: 916-538=754.1 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is.received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:. Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: //�� n Property 0 ner --Cep X Sociala ur' Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per--. mitted to issue the permit. BEN CULET P.O. BOX 1082 OROVILLF_ CALIFORNIA 95965 (916) 333.8892 TO mmEm=mumm DATE_ SUBJECT._I J / 7 T'S 0 DAY -TIMERS RE -ORDER No. 2363 — Punted In USA Ile 1Y8s"�*'t'!2�� 1 t 44 'l� _ I t i t (t,1 5.��. -0.7* ail BEN CULET P.O. BOX 1082 OROVILLF_ CALIFORNIA 95965 (916) 333.8892 TO mmEm=mumm DATE_ SUBJECT._I J / 7 T'S 0 DAY -TIMERS RE -ORDER No. 2363 — Punted In USA Ile 1Y8s"�*'t'!2�� 1 t 44 'l� _ I t i t (t,1 5.��. -0.7* COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.� ASSESSOR ARC EL NUMBER ZO ING BUILDING PERMIT OWNER TELEPHONE S SQ. FT. OCC. BUILDING VALUATION OWNER'S M IN A D S C� VTELEPHONE CONTRACTOR *SNAME CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fliing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ . QD Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS %UDS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 � � Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF TRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 .Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation OAher ❑ Describe work: F- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 100 OR LESS 100 OROR LESS 10.00 Main service/EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. r License No. Classification rLfil I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADDNST ( DWEACCLLIN GOCCUP.&) S. '/x2sgft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®60C SAL°s° Ex. Occup. OUT OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department .a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read—ffils pplication and state that the above information is correct. I wee to complyt6 all County Ordinances and State Laws relating to building,construction hereby authorize representatives of the Countyot Butte toa6rater upon above-mentioned property for inspection purposes. 1 also agree ave, indemnifyixg keep harmless the County of Butte against at I' (es judgments, cos",/and expenses which may in any way accrue (gai st s ounty in copse u ce of the granting of this .0r it. Date Signature of A ica Owner tractor ❑ Agent V 'An OSHA— ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ r Ener 'on Fee $ p� TOTAL PERMIT F E $ occuP. CONST.T;;7[T I FLo D ARC PD ND IssDE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which ECTOR OF PUBLIC By PERMI PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , -- 0 au ��. 0 Receipt No. '— WNITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, aOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION g> — 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 W PERMIT APPLICATION DATA SHEET Permit No. OWNER �%l C� A. P. No. 54- J�� /_�i Proposed Building Use '7117, Building Inspector -I Date IASZ � f. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. - 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4...: -Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" .Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. ,8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 1 Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner �) ___=15. Improvements may be required. , . . . . . . . . ./., 16. Mobilehome Installation Data. Pre-Inspec. request to (Date) 17. Pre -Inspection for__ _. _ -. ___. _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. P2�19. Driveway Permit. — 20. Plot plan approval from city of 21 t. - - - 22. _ — When you issue the pgrm•.t q ocess as follows: Mai 1, to ow��ne����r; Mail to contractor_ XTelephone �and hold for picku�,taT,,_`�b Tice, Deliver w/inspector. Other '11.7_ -- Applucara.t ate/� Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior t rmit issuance: (Circle new item not checked above). 1. Index permit for above items No:---- ---- 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone-Dail—counter by date Contractor, designer, wner oas advised ct above required data by_�ne—mai l—counter b ate -Z3� kK,-- Plans checked by Date Plans approved by Date _ 0-7-S11 Sets of plans on hold in File cabinet AP folder Copy—DPW 36�3�'113 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will. be issued until this verification is 'received. 1. I personally plan oprovide the.major labor an erials for construction -of the proposed prop rty improvement (yes or no) 2. I (hav have not) _...signed an aJication for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: Name Address City Phone Contractors License No. I plan to provide portions of this. work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.'but I have contracted (hired) the following. persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Se ity umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 0 A setback of Oft. rom the ' 100. „ O property lines an a setback 500.SQ: FT. MINIr� of 50ft. from th road -FOR MOBILECN centerline shall I f Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half ell Al-9eeeleide (Wof the mobilehome. (Y ecVal o structures ore uipment excepl D .i u f rra, 2 ft. eav overhang. r a�. IR permit will be required for tfre dilation of the mobilehome. This sef ofplans and specificat ons MUST be kept on the j® at all times and it is unlawful +•o make any changes or alterations on same without written permission from the Depart ent of Public .Works; County of Bu#e. a a qu pre' iform uilding, / 0 i i rials & Workmanship Shall be a Recognized Good Practices and ribed ,for the Specified use in th® I'lumhing & Machanical Codes and 4aal Code. sum COAN” OUILDING DEPARTMENT APPROVED 1704 T7 - M++U 7-77k M4 36-31- //3 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number % 7%`7^ g % ) OR Is the site an existing site? . Yes No FA (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No El (If no, clarify 5. What'is the mobilehome electrical rating? --------------- n D Amps 6. What is the mobilehome site service rating? ------------- l ;t �"" Amps 7. What is the mobilehome site circuit breaker rating? ----- l o O Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: W e (Load) /.- (Amps) 9. What is the mobilehome site gas pipe size? ----------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 12. What is the mobilehome gas demand? ----------------------- It A (BTU) *(This information noit required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG:) MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width (ft.) Box Length__�t (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of (Bu�tte�). FOOTINGS (check one) VU1. Wood -pressure treated or foundation grade. U 2. Other (specify) SUPPORTS (check one)1. Concrete block.a. Other (specify) Pier Footing Sizes and Locations S- (f a i- S SINCLE-WIDE MULTI -WIDE Line 1 s ,�• Line 1 Line 2 — — — — — — — — — Line 2 _ Main Beams nc• 2 — — — — — _ — —, — — — — Line 2 � Linc 3 --- -- — -- — — — — — s Line 2 - — — — -- — Main Beams — — — — � Line 2 Line 1 in .Line Tag or Triple Line 1 Piers: Size -Min. ------------ Spacing -Max. --------- Frau linda-Max.------- Lino 2 Piers: Size-Mln. ------------ v �� "x SpacJog-Max.--------- From Ends -Max.------- d " I..ine 3 Rent toads: Size -Min .------------ Line 1 Openings: Size -Min. ------------------ "x, Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------------ x 'Spacing -Max- --------------- From Ends-Max.------------- "x "x "x "xII"x1."x "x "x Location (From FronL) _ I. I- _ _ - _ '_ i " L. Line 4 Fie ss: - Line 5 Piers: (Under Bearing Walls Only) Sizc-Min.------------ .k Size -Min ------------------- x S pac J.og -Max. --------- , „ Spacing -Max .--------------- From Ends-MexFrom Ends -Max .------------- 1_inc 5 Roof Loads: Size -Min. --•---------- location (From Front) 10 Utility connections shall be within 4 ft, of the mobilehome, either dimtly behind or within the rear INAof the mobilehome. 1.0 0 I. M MO -a i 500 SO. FT. MINIM& FOR MOBILES p.�wiu RcPI,��•.•.w Y � '' 0 Is se# of plans and specification MUST be /� ke;} an the job at all times and it is lawful +o � ; make any changes or alterationaan s of Publle men permission from the p a/o&, County of Butte. i $.•—' ' Materials �.. Workmanship Shall Be a a-----_ �ecordand with Recognised Good Prnctices ane eWribed: for the Specified use in 6r Building, Pluming 8c Machanicai Codes,-- iVcstWWd 1 CaC6 ;S CP— 'r Y2'c_—. :- GOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION I?F7 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 036-310-111 3 - ZONING ARM14 2 - 5 BUILDING PERMIT OWNER OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 1082 oRnyTT.T.P.1 qw6s CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION UNDERUNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54 0121 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ — Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 109.10 OR01ITTI IR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome f Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑Y Addition O Remodel ❑ Utilities ❑ Installation ElOther ❑ Describe Work: DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( e10101 LESS I 200A OR LESS 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP.So• OR ADDNS. ( & ACC. BLDS. I 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �, as the owner, or my employees with wages as their sole compensation, will do the work, and.the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS I 7.50 ( POWER APPARATUS I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I B20 @ 1.00 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a f ertifiCate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to sav -, indemnify and keep harmless the County of Butte against all liabilities, ' ments c ts, and expenses which may in any way accrue against said Count n conse ce of the ting of this permit. X Date Signature of A plicaG Owner 1:1tractor Agent An OSHA permit is required for excavations "0" deep and demolition or An over construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc 1011T. TYPE TOTAL FEE $ lAq In HAZ. D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By_ Date I PERMIT EXPIRES ON (betel Receipt No. 167063 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..t.'...u'�':i�xc�l,+A'�Ih'�kn�3i,,,�lsN'��y'!-.rte `"•"c:..^"� ty''""��-�'r''^ic''1�?'r`�ti+�.�2"*.�,,, >.� 1t COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET A. P. No. G 3 6 - 3 Building Inspector Date At time of permit applicatio bv(as a vied&bllowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 11 items have been sub ........................................ . Plot plans, 3/4 sets, gned by preparer of plans . .......................... Lf 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . ................ 14. Sanitation and plot plan approval 0&0 Health Department . ............ 15. City of Chico plumBing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Pre -In . . Pre -Inspection requesit 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. Wh n u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone _ Z.�and hold for pickup at 4h_ )-�- office. Deliver with inspector. Other / Parcel Creation (/ Acreage Applic� '-Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: /✓O PILAIV5 7 -/.I -r'g-f Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J COUNTY OF BUTTE - Department of Public Works } 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is ,received. 1. I personally plan to provide the major labor an teria for construction of the proposed property i provement (yes or no),' 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed - construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work: but I have con tedd) the following persons to provide the work indicated. S igned Property Owner Social�ber Date A10 - 34, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Colli;I I i Re _urr. �o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL R CORDS BY j� FOR RESIDENTIAL DEVELOPMENT Section 26-B-.1 of the Butte County Code 'requires this acknowledgement be recorded prior to issuance of a building permit. 87-21():18 11187 JUN 10 PVI 3: 59 The property described herein is adjacent to land or included CAN Dit..c .CRUMBS within an area zoned for agricultural purposes, and residents of this CLEN-RECORD ER FEE " property may be.subject to inconveniences or discomfort arising 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 zones which have as a L priority use for productive agricultural purposes, and residents within said zones and on ad scent property should be 'ate j p p y prepared to accept such inconvenience or disconform from normal, � necessary, farm operations. All that real property situate in the County of Butte, State of California, described as follows: an—�Pq Date: V U 4 PROPERTY OWNERS: /* 1 State of ) On .this the O da of >L� 19�� before efore SS. me, the undersigned Notary PLA61ic, personally appeared County of ) vv Present A.P. No.j 117 ; Personally known to me. L-/ Proved to me on the basis of satisfactory evidence. be the person(s) whose name(s) 1_S ( s scribed to e within instrument and acknowledged that ecute'd the same for the'purposes therein contained. ,WITNESS WHEREOF, I hereunto Nand and official seal. -, y Public OFFICIAL SEAL, ' s RUBY J BOA•ZE =o <•' p�' NOTARY PUBLIC CALIFORNIA ' BUTTE.000NTY a a� My comm. expires OCT 30, 198; Present A.P. No.j 117 ; Personally known to me. L-/ Proved to me on the basis of satisfactory evidence. be the person(s) whose name(s) 1_S ( s scribed to e within instrument and acknowledged that ecute'd the same for the'purposes therein contained. ,WITNESS WHEREOF, I hereunto Nand and official seal. -, y Public 3cc Q Order No. 1.9750-F DESCRIPTION All. that certain real property situate in the County of Butte, State of, Calif- ornia, described as E01.101,1s: A portion of Section 34, Township 19 North, Range 4 East, M.D.B. & 14., more par- ticularly described as follows: Commencing at a point on'the West line of said Section 34, which point bears North ,0°11'00" East, 1781.86 feet; t'he.ilr.e along the centerline of a 60.0 foot road ease- ment, North 89025'30" 1.,ast, 710.0 feet;, thence North 0°07'00" East, 910.0 feet; thence North 27°41'00" West, 270.0 feet to the true point of beginning for the parcel of land herein described; thence from said true'poi.nt of beginning, con- tinuing North 27°41'00" West, a distance of 240.0 feet; thence North 35048'43" East, 728.0 feet to a point on the Southerly boundary of that parcel of land de- scribed in the Deed from Morley Henderson, et ux, to Stayman A. Buttler, et al, recorded in Book 543 of Official Records, at page 358,_records of Butte County, California; thence South 47°07'30" East, along said Stayman A. Buttler, et al, ,• parcel, a distance of 200.0 feet to a point in the Northwesterly line of that certain parcel of'land described .in the Deed to Earnest Bryant, dated December 7, 1971 and recorded December 7, 1971 in Book 1.718 of official -Records, at page 4459 records of Butte County, California; thence South 48°59'00" West, 250.68 feet to the most Westerly corner of: said 'Bryant property; thence South 39°44'50" East, along the Southwesterly line of said Bryant property, a distance of 323.19 feet to the most Southerly corner thereof; thence South 62°06'00" West, a distance of 540.04 feet to the true point of beginning. TOGETHER WITH and RESERVING THERE -FROM a non-exclusive easement for road and pub- lic.utility purposes over a strip of land 60.0 feet in width, lying 30.0 feet on each side of the following described line: Beginning at the most Southerly corner of the above described parcel; thence North 62006'00" Fast, 540.04 feet; thence North 75°02'59" East, 220.26 feet; t to the centerline of the thence North.48°59'00" East, a distance of 457.98 fee Lower Wyandotte Road and the end of said line. . tl . RETURN T0: PL,ijlic Works - Land Development Section CORP Nk�'C�F a,D �1FUrO'Pr. CERTIFICATE OF COMPLIANCE C W RK V Pz: Issued to: George Dinkins Li A. 1405 Stephanie ht"Cillo,}t ' Sacramento, CA 95838 FEE 34--3.13 This Certificate,o:f Compliance is here.by.issued by the County of.Butte .to certify that the land division which.cre-ated the parcel of property identified below complies with the applicable provisions of the. Subdivision Map Act and of Chapter 20 of the.Butte County Code. 1`..:. Property .location: on the south side of Lower'Wyandotte:Rd.,starting approx. 2400' southeast from Upper Palermo Rd:. to approx. 1600' southeast from Drescher Tract Rd. 2.. Assessor's Parcel Number: 36=31-113 Description: All that certain property located in -the County of. Butte, State of California, more particularly: ._described as.fol.lows: A portion of: Section 34,_ Township 19 North, Range 4 East, M:D.B. &.M., more par IlCularly'desdribed as follows: Commencing at a.poirit on the West line of said Section 34, which. point bears North 0°11'00" East, 1781.86 feet; thence along the centerline of a-60.0 foot road easement, North 89"25'30" East, 710.0 feet thence North 0°01'00" East, 910.Q.-feet;- thence 10.Q feet;thence North 27 41'00" West, 270..0 feet to the true.point of beginning for the parcel of land herein described; thence from said. true point of.begi:nning, con- tinuing.North 27°41'00" West, a distance of 240.0 feet; thence North 35048'43" East, 728'.0 feet to a.point on the Southerly boundary of that parcel of land de-, scribed in the Deed from Morley Henderson, et ux, to Stayman.A. B.ut.tler, et al, recorded in Book 543. of Official Records, at page 358, records of Butte County,. California; thence South 47°07'30" East, along said Stayman A. Buttler, et al, parcel,. a distance of 200.0 feet to a point in the.Northwesterly line of that certain parcel of land described in the Deed.to Earnest Bryant, dated December 7, 1971 and recorded December 7,.1971 in Book 1718 of Official Records,, at Page 445, records of Butte.County, California; thence South 48059'00" West, 250.68 feet to the most Westerly corner of said Bryant property; thence South 39°44'50" East, along the Southwesterly line of said. Bryant property, a distance of 323..19 feet 'to the most southerly corner thereof; thence South 62006100" West,.a distance of .540.04-feet.to the true.po.int of beginning. Together ,with rights of way of record recorded in Book 2823 of Butte County Official, records atpage 487. Issuance of this Certificate is conditional upon the foll.owing . conditions which have been:imposed pursuant to. the Butte County Code Chapter 20-167 and Government C.ode,..Section 66499.35 (b), to protect the public health and pub'l i.c safety: None LD 1400 County of Butte Subdivision Violation Committee CD M C1.0 END OF DOCUMENT END OF C�XUMLNI NOTE: S + , See t! a aftadhed AN It ReQlUlet;�i� PagesIt - APPn �i Burie COoun�t + environ Y mental Health i i .nd ' Date , Signature i Y,.} �.1{ F. Yr iJ w' y U©t}�? : i i i i N �' � \. ''. ,. �`�.r_.. r_.1 �;.�.�� .. ♦��l�il{�tYii=6f�-t{7i�® �:�n� .s.:�f ��iTr{l'��,.. ,. .s._.�—.1, r..I.,' tt _ �����F��Xs� R•-����- *�-.r - J 1 � ItK`"a' �3•y � * x Nm • \ \ \\ �-�i` � ^..vy� _ � '^ ' ^LL S c^` �� �y � M �}� �+t't-„�i• kT +i �s��'[�J �/� \ V � t«•z• �'• �i. LTi" 7 3 ..-. -. s..�� 1 �:�. v.+ -a' t• . F -x A .ct+ r ,1 .� � .r .. t r $-rT t• � --� V. , \ __ r^'•f .,, e yx �'. � R: � � t.'t3 fel - v t�L r•a.. c#� � r1".�r. 'r T' a. h- \\ (,, �"� � rt Y -•�d rn_�1� �a��° �,ti-.'F�� y 6. � � \ `•. cam,='Y'. r i -c - �•� r-t`''t:xr `i4' tr•7'3l 1 i - G `.. Lya ILL uy - � a J�� r r � Fi •moi t 'rr ^` ' � O^ O\ r�4`-�[¢ 6 § -, xa• 'ri: tL / E'er �- s}', I (` l P70