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Home My WebLink About079-370-056BUILDING CODE VIOLATION ,)n T-% AV 1'o�,5^Q2 BUILDING CODE VIOLATION I 0 DAY LETTER: SENT. -756,..�_ ---- 146=90 3066=91P:,.E HEMSTALK, Todd h HEMSTALK, Tod T ; w/s Shelterwood Ln, app 1800'n -of 129 Shelterwood broville. Breeze Hollow Ln, Oroville cont: MH Center Ag Exemption Permit (Th util) (horse barn) n 1 ELEC cW 30-05(p ! GAS COMPACTION TEST REQ SUPPORT STRUCT REO._.-, v q Permi*tff O 7-91MHI - (install mh) 02- 0 2 DOUGLASS, NEALi flfl, r 129 SHELTERWOOD, 0 I LE EX MH EX SITE PERM FNDN Os6 02-086,d--- DOUGLAS, 2-086DOUGLAS, 'N ' EAL INALED 129 SHELTEWOOD LN., _Q 2 MN DECKS i 04-2986 DOUGLASS, MICHAEL 129 SHELTERWOOD LN, 0MALED Cont: OWNER -V7 l X FINAL 02-0052 i r1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDINr-PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042986 LICENSED CONTRACTORS 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 Issued Date: 10/12/2004 APN: 036-230-056-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 129 SHELTERWOOD LN ORO Map Index: Date: Contractor: Description: ONE TIME TO FINAL 02-0052 OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 r Business and Professions Code: Any city or county which requires a Owner: DOUGLASS MICHAEL ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DOUGLASS NEAL B & PATRICIA L signed statement that he or she is licensed pursuant to the provisions of 129 SHELTERWOOD LN the Contractor's Slate License Law (Chapter 9 commencing with Section he OROVILLE CA 95966-8276 7000) of Division 3 of the Business and Professions Code) or that or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: DOUGLASS MICHAEL" ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1' ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does :contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dated"' _ 0 Owner: License #: WORKERS' COMPENSATION DECL ATION 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 s Labor Code, for the performance of the work for which this permit Architect: is issued. O I have and will maintain workers' compensation insurance, as Engineer: \�ti required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: j i Carrier: -Total • Square Ft: 0 S. F. - Policy #: Valuation: $0.00 �,}1 Census Code: I cE�ertify that in the performance of the work for which this permit is ` t issued, I shall not employ any person in any manner so as to become subject to the 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 those provisions. fwith Date: -Applicant: 'X ?.. 47 ,WARNING Failure to secure workers' compensation coverage is unlawful, and -'shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of % �— compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit herebyder the applicable provisions of the Butte County Code ?nf r I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutionsd above for which feeshave been paid. T�1� Name: BDate: y'—Tr r PERMIT EXPIRES Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the_storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction.of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner,? the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc f y official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon I a above mentioned property for inspection purp se ` n �QT� Print Name: I G 1 %. - - - , a55 Signature: /0 -/41—o t./ Date: ❑ Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042986 LICENSED CONTRACTORS 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 Issued Date: 10/12/2004 APN: 036-230-056-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 129 SHELTERWOOD LN ORO Date: Contractor. Map Index: Description: ONE TIME TO FINAL 02-0052 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DOUGLASS MICHAEL` ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DOUGLASS NEAL B & PATRICIA L signed statement that he or she is licensed pursuant to the provisions of 129 SHELTERWOOD LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-8276 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): t 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 (Sec. 7044, Business and Professions Applicant: DOUGLASS MICHAEL` ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date -/2' - Owner: Ole, License #: WORKERS' COMPENSATION DECLAftATION I 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 Census Code: �. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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: • 01 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars($100,000), 0 in addition the cost of provided for 0 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 27 CONSTRUCTION LENDING AGENCY This permit is hereby i's,��sued under the applicable provisions of the Butte County CodR anrUnr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions t o Cndicated above for which fees have been paid. . Name: By Date: PERMIT EXPIRES 0. 12 , v-5Dafe Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc f y official form or document of Butte County. I hereby e above mentioned property for inspection pure se I authorize representatives of Butte County to enter upon41,65 Print Name:?a+ IC1� �. QbtQ Signature: �/ -� 1-O c/r�oG—O �-/ Date:/0 ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor r NOTES RESIDENTIAL PERMIT NO. 036-230-056 02-0052 DOUGLASS, NEAL 129 SHELTERWOOD, OROVILLE EX MH EX SITE PERM FNDN THE IACD FORM 433A FOR TI -ITS MH CANNOT BE (, RECORDED UNTIL ONE OF T171E FOLLOWING HAS ;BEEN TURNED IN TO THE BUILDING DIVISION: �► (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETR.EIVE). i (2) STATEMENT 01= FACTS (ONLY ON NEW MLI S). 11 SPECTOR TO VERIFY SERIAL & LABEL #'S. f T. R SPECIAL CONDITIONS " CHECKED BY t FLOOD CERTIFICATE REO. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER { JOB FINALED (Date) z Signature V=OK 0 = Not OK a` = NttApplica6le MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1., Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HO_ME INSTALLATION (Plans) OK except #'s oni g Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8.--6a-s and Electricity Tagged ie owns -Type -Installation Cert. Exits; Insp.-Sketch 11. Cert. of Occupancy _ manent Foundation Onl 'cense Dec Date / b %jCard B-1 Date Card B-1 Date f, 11 1 Card B-1 c Date Card B-1 �fio_590(17� 7.. 1 ' MISCELLANEOUS t 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 -Re its 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater B. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 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 (; Date 23. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 37. Condensate Drain & Overflow, Size & Grade Date 38. Card B-1 Date Card B-1 Date 39. Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 42. Bearing Walls over Girders & Floor Nailing Date 43. Card B-1 Date Card B-1 Date 44. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ID No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 58. Glazing Area -Glass Protection -Skylights -Plastic Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date 61. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation Date 37. Condensate Drain & Overflow, Size & Grade Date 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector Date 65. Card B-1 Date Card B-1 Date 66. Card B-1 Date Card B-1 Date 67. FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors , 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 82. Following Instld./Drive D Yes D No/Walks J Yes D No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �Y ' ti ;:.•Y' ` � ^:'�.::�-'- .._,... -. .---•» ,=r'....-� .. _ . �. �•:-,r��. r'k. -• _ ...` � . .. parr ---..-... r -.. ».�. ,�•'} COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R / IPERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date d Q �� Inspectors REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _l Jp�� lr-•ss4-2-994 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. Via. C `� S -�c> t-� � y l = C- �v✓l,/ .!� e �Or�a c✓ rl �C.*c Date �� 3/n— Inspector REV 16Z M Date �� 3/n— Inspector REV 16Z COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building I Plans must be available 036-230-056 02-0052 A.P. No. DOUGLASS, NEAL — 129 SHELTERWOOD, OROVILLE Contractor _ — Owner EX MH EX SITE PERM FNDN Co Permit No. Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings ` Piers Underground Conduit Pre•Gunite Do Not Pow Concrete:Until Above'Si ned Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Electrical Mechanical Shower Pan I I Oo Not:.Insi IW:.Uhtil AboYi-Sighed Insulation Da.Mot:CoverVnttl'AtioveSigrieii.:>? Fireplace Footings Fireplace Throat DoN:ot,Continue:Fire lace:Untif.'Above:Si Stucco Lath Scratch and Brown Do Not Cover Untif Above Sign Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final _ Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891.2751 891-2834 i Revised 7/94 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 02-0052 ASSESSOR PARCEL NUMBER 036-230-056 ZONING AR9 BUILDING PERMIT OWNER NEAT D011121 A SS TELEPHONE 589-170s— SO. FT. OCC. BUILDING VALUATION D 49,160 00 OWNER'S MAIUNG ADDRESS - - 106 2HRITERWOOD LN, ORWIT-ILLE 9-596-6 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 194-95 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 129 SHELTERWOOD LN, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeyCl Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 10 Describe Work: FX MH RX SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 , Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR UES Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ as owner of the property, or my employees with wages as their sole compensation, well do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he 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 provisi ns of section 3700 of the Labor Code, I shall forthwith mply with those pr M isions. �+ X Date / '� �" � 2- Signature of Applicant - Xuwner ❑ Contractor ❑ Agent An OSHA permit is req.Lkl5d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. DWELLING OUP. Sp WE CC OR ADONS. ( a ACC. BLAS. 3.5QFT. NEW CONST. MULTI. OUTLET Npµq�lp_ BRANCU @7.50 R A 8PSINOWELEPPARATUS GOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@''50 BAL @ .50 APPLNS Ex. Occup. pFMUTSED R p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 287.25 HAZ. D. FEES IMP FLAOD CDF PARCEL PD .� HD Mp This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By— PERMIT EXPIRES 9N the applicable provisions Resolutions to do work been paid. �� Z DateJJ s D 3 Date /469/ 4i2b Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W 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: /,)'e a- l �)Ouq 1 Q SS ASSESSOR PARCEL NUMBER 3 Proposed Building Use:!- X t S +► P M/,W OLAAIJ Counter Technician: /�� " Date: Items required in order to appy for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance 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 duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form................................................................................ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees pue Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. <Planning approval For (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 1'. EncroachmentPermit o iveway from the Public Words Dept. construction approval nor to occupance. 22. Pre -Inspection for e %� f� 8r•'►� V -� a ilragarired. r�j.eN %�O ❑ 23. Contractor's license in ormation. (Nu er, Name Style, Classification ............ ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Exi ting violations nd/or expired permits......................................................... ❑ 30. -brant Deed, .H. Title/Statement of Facts, ❑ Letter from Legal Owner4Check to H.C.D. $ I( ❑ 31. Other: When issued Telephone 5and hold for pickup. "'j I have been informed of -t a above items and equirements for obtaining a building permit. Applicant: Date% 40,-7, 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, b Date: Plans approved by: (j . Date: / Z _Structural approved by: Date: Yellow: Building Division 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 im rovement : YESX 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 ) to provide !hc4goposed construction: NAME: ✓�/ �Y61/%�✓ /1��-S i�� _/we, 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: NOTE: This Owner -Builder Verification is required by Section 19831. and 19831 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: OVER M OWNER BUILDER INFORiv1ATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed: and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons othenthan your immediate family, and the work (including materials and other costs) is S300 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 cant' 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. I rely, Mic el C. Vi iia, C.B.O. bt ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER oda OVER PRE=INSPEeTION REPORT OWNER:O-" O U a 5 S LOCATION: 1,2_9 CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/U Residential/# of Units: Currently Occupied. AbandonedNacant Electric: DATE:' 2 A.P.# 36,- �-3-Sfo ZONING:—A-&-"� v PERMIT HISTORY:( ) NONE ( S FOLLOWS: BUILDING INSPr ECPOR'S REPORT Yes No Electric currently On �� Off 4 Condition of Electric_ �] Gas: Natural Propane None _ Currently On ,::a�Off Obvious Problems: ,f �� A� Sanitation: Plumbing Working Well Working Potable Water 9 Obvious SewageProblems ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector•0/2 — Date Sketch buildings on reverse and indicate location on property. F.. ,ft v", --',(- X3 -5-G i Q 36� �1= •6� 311' FLATS I Mttf f -�_ oraarr I a o o f �I I fnr 1 ro m�j "=.T CZ8°f�CFUTi - :. !4' z 4' balm a o L Typ ar s o TYF. OF _ . - GAP BASE GRLDDER PLATE' I 1 Ln 7OP \4EW - MG; - 611 ).i. a i :ilF 14�.c�o�.cm 3�xras.a i 1-1i2' SC::. 40 PPE .a+w.m$'cn.• ^! 1 W'1Ti 3 OR MORE GRADE 3 PA! CRs 7AL I 1 r'aDJU$iLR HQL_S � LO: SC WiiH Y,' LOCS;23G � U Nif, OR °2t Z' SC.Ti 40 ?IPE rWl2?D:JS1r HOT Vi_ 1 SIDE W - MGP - PAD i 1�',ti •U L 2' SCH 40 P2_rr i !7 C# WEL Da) TO 1/4' BASE PLAIM ' 3136' X:' BRht" Jb' L0 2' X 2' X 2114' BAR W1 MN 3AV CT! Itil'iG'� 11c. X 3f4l'ZlEC'ffFZ. Ty? OF co 22' LC!'!G� / 1 I 1 c- O - � LA r Moo= f 6 ate; 4' nares. END Vital -MGP - PAD j �,{GP `UNL'ERVYMEW GRADE PLYWO. P S S CCA PP MURE TtFAT'ED CV DE31GN LISTED AND T_= BY: BSK ASSOCIATES WAYNE T, POL-VADO, PF - U-SMNG NO. F94249 UC-ff - HEA%l%' . GK -t PAD c- f" X E" ANCHOR I 0. PCUR_cO IN BL69. s.�'N�� ' MOF3MEKCME MUND,VM rCMM ( F 9EAMAXosAF•U."r C'.J11Ess3Ctt --PACIFIC Cuitsui m EAGREEIS 22'90 Bpi �vrrr fUFi Pk 916-bi4�E'7i APPROVED @�QanrMA, CA. SWU Fss: 9164"-M= SU8fEC'. 7O CUR r--rx7i JRn-m .2130IN.LDCE&MTAU0432=CRAMLOnAM Ti��'-1 PES �a ol<D@YLQZD(?w6i �IF�a V "'fL'=`RJTXM`AW$AND "BC".°M° FOUNDATIONSYSi'Eh£ smcafp381m, MVMV n4*�dR�+csalC�cigOe,lae[ . -M OPCODES Arm STAXPA= ABESCO - GUS GUARD COM ANY _�3_JZ) ?_O-SQX 123 I a—t C 4'TSEYS VALLLY, CA. 9`386 =Lm 40 02- - 4 os 2 -- BUTTE COUP / 3U I LDI NG ®EPARTM ` - N 05/25/2000 10:48 3835207 ABESCO • 1 P E: s In y� n a 1�•1 1'Il PAGE 02 1 Fri p M 6L IRK e .._ C 0 P E: s In PAGE 02 1 Fri p M 6L IRK e .._ C 0 CZNERALNOM GUS GUA" TUE.! 1. DESIGN LOADS LIVE LOAD - 30LB. FLOC R LIVE LOAD - 40 PSQ WIND LOAD - so WR EXPOSURE SEI_&ac ZONE -C SNOW LOAD 10D PSF 7.. THIS FWMATICIN SYSTEM IS DMGNE3}.70 BE CO)QT=ClW ON A FAIRLY LEVEL QTr- 3. CHASSIS REAM SUPPORT MALL. BELOCATED AND SIZED FOR -TIM LOADS AS SBIDWN IN TlMJWCfM_- HQN& OCTALLATMINI 1NSnMX'Z0N- .4. 111 ARLALSk} DIFFERENTIALSCTiL�EKTCD.S_l CAN OCCUR kLANLWACTURED HOME24ALL31E. READAZnM WHEN D-1 EXCEEDS Vc OR WHEN 737 WILL HE ADVERSELY AYF---'T MANUFACTURED)JONCE UN7r. S. CARRY ALL FowiNcs Daw TO FIRAL uNDLWuFmm soiL,-ocriNrs ARE r-,cR imi PSF TOTAL LOAD SOIL PRESSURE AND SHALL RE COMPATMLE ViM LOCAL Sm. coTmmcNs, aXApACTED SAND WAY BE USED To FaL LOCAL vom umxR?AD& WELD - C AG--ORI)INGTO A1VS SPECIFICATMNS-'ELECTRODES -31-10 ?LAM -ASTM A36 EKXTS-. Wa SAE GR S -ASTM A449 - ASTM. -U721 Q < 7. THE GUS GUARD ASSEM0L2ES-%4OWN BELOW SHALLIBELIS�.M AND LABELED HY3SX AND ASSOCIATES MR -,dE POl1AWR JC 1D+1=5 ALLOWABLE LOADS FJ0=CNTAL VEKTMCAL GIM GUARD TUF-1 GUS GUARD MOP PAD 60000 GLIS 47LIARD EZ TIE P -46D Z20N 60wil 0 U R24 G PRELD-MLARY MSPE C rICN.TI-ESTIMATOR SqIxLL E?S MIAl ROME 01ASSIS EEAba ARE OF STANDARD SEC. -ION. 9. Elf -MC COACHES MAY BERETROFT =--OPMLT,-SEM&OCFORCES 13YINSTAUM;C GUS GUARDrW) UNM AS SHOWN ON TIESPAM OF-11MCALFOUNDATION?LAM. 10. TICE GM WARD -IVF-I SYSTEMS ARE SAFE FOR WrALLATION IN FLOODPLAIN AREAS VAMMnE?MCIF FLOGGING DCFSNCrrEXCEMTHE IDWHrCFTBREE= IL' MULTIPLE UNIT D(STALLATION 15 ACCr3`rABLE PROVIDED THE NGldqERoFTur-i uNas UNDEREACH UNIT ISTBESAME AS SROWN REQUIRED PER EACH UW I. ;7(sEE 13)- SINGLE -WIDE L3- ALL METAL OO&cmoefEfM AND ATrACHWEN"M rTEIC SIALLBE, PSCrEC= COATM co 14. FOItMGP?A USE IMSEXMIU] -----WTREATMENTTO4.40 MAX PCF RETENTION W DRYING AFTER TREATMENT - 4 CS3 c!o m c*4 to C14 M IJ. LIG-MHEAVY.WMGHT PLASTIC AND STEEL ?ADS MAY BE USED IN PLAC-1 OF PADS. 14 E _Z TIE DOWN USED ON SINMZ-WMF_ ROUND STAJCES (314 X 141 MAY 13E USED IN PLACE 15Ar 03MMMME FCONDMt rM!W OF THE 1-.% Itr FLAX BAR W)MH S=L Z EXTREMELY HARD OR IN ROM HIM ES MAY BE PRE4MILLED WIJEN NECESSARY. APPR DYED 17. GM GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLaWABLE SNOW LOAD TO JOO PSF 103113crTo CCRXECTKM Nc= --WHEN RCTALLED W= =T= S-ANDARDSREQUUtEDBYCOACFIMANUFAL-UPEt XNUOULMM NWAUT80MCIAMWORAW CR REpLACE T;MA Ot# A CHETOOOM -AA,= 0dffiXM2-=EV$%CWN?lM MXu 47 ArRXAKZ TW8 LAWS AND *MGCLAn= I Pa26An0N BLOM16' X t6' x lr POURM IN PLAr_- AT GRCtDID L ---VF- MAYBE USM ftw!dfommiL AT DgSTALLERS DISCRETICK AS ALTEDdAlTVE TO PADS. myrow Or C-_,mE_ -3 AXD ifAR3F$ TAR -r od -%VA7 i WSW" =Z S 'MAR—d my ca rx MERIES ?ACS 21 ANY`?A3tMAY_ gAmORTPAD J3EHOA3Z!D90rffly=0N- . AS RECD BY TEE MANUFACIZINUR -Y9. CROFFSET110ang9ismE Cfv.-EmzNGZmm--YP9CALTsRcOGm;t TO AVOW CLEARANCE TuF_l F SINGLE WIDE uNrrs DOUBLE WIDE UNIT,_ E=ZIAINlrmokx E-zill, S-9' mw -r5 MAX S_ a, / zz SHETE 2 OF 3 E,mi FOUNDAnON SYSTEM ABESCO -GUS GUARD COMPANY P-0-Bm =9 CA,7BM-a VALLEY, CA. 95306 y6v - yj."? - g3 Ll Lj L'i 3 AS Z= -'O ST KAmj7Ac7L,9 _--I TY?.E—i r my ca rx MERIES ?ACS 21 ANY`?A3tMAY_ gAmORTPAD J3EHOA3Z!D90rffly=0N- . AS RECD BY TEE MANUFACIZINUR -Y9. CROFFSET110ang9ismE Cfv.-EmzNGZmm--YP9CALTsRcOGm;t TO AVOW CLEARANCE TuF_l F SINGLE WIDE uNrrs DOUBLE WIDE UNIT,_ E=ZIAINlrmokx E-zill, S-9' mw -r5 MAX S_ a, / zz SHETE 2 OF 3 E,mi FOUNDAnON SYSTEM ABESCO -GUS GUARD COMPANY P-0-Bm =9 CA,7BM-a VALLEY, CA. 95306 y6v - yj."? - g3 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Jan -2002 2002-0003813 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE TIIIS LINE FOR RECORDER USE ONLI' NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. NEAL B. DOUGLASS & PATRICIA L. DOUGLASS REAL PROPERTY OWNEPULESSOR 129 SHELTERWOOD LANE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write."SANIE") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 2-0052 (530)538-7541 I DI G E \II TELEPHONE NUMBER 1/23/02 SIGNAT RE OF OCAL AGENCY OFFICIAL DATE NONE DEALER NA.ME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. 90086 CHAMPION HM BUILDERS 1991 MEADOW CREEK MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NA\1E1NUMBLR 0916312563 13'4" X 60' RAD580199 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNI VLABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #036-230-056 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. DESCRIPTION ORDER NO. BU -192379-3 THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 1, 1976, IN BOOK 60 OF MAPS, AT PAGE(S) 15 AND 16. APN 036-230-056-000 PARCEL II• A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 1, 1976, IN BOOK 60 OF MAPS, AT PAGE(S) 15 AND 16. PARCEL III: A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27, 1974, IN BOOK 50 OF MAPS, AT PAGE(S) 12. PARCEL IV• AN EASEMENT FOR ROAD PURPOSES OVER LOT "A", AS SHOWN. ON THAT CERTAIN MAP ENTITLED, "WYANDOTTE ACRES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 15, 1948, IN BOOK 16 OF MAPS, AT PAGE(S) 15, 16 AND 17, BUTTE COUNTY RECORDS. PARCEL V• A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES OVER THE NORTHERLY 30 FEET OF THE EAST HALF OF THE SOUTHEAST QUARTER OF SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND OVER THE NORTHERLY 30 FEET OF THAT PORTION OF THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., LYING WESTERLY OF THE EASTERLY BOUNDARY LINE OF THAT CERTAIN RIGHT OF WAY DESCRIBED IN DEED EXECUTED BY CLESTEL R. HOWARD, ET UX, TO MILFRED W. THOMAS, ET UX, RECORDED NOVEMBER 3, 1958, IN BOOK 966, PAGE 92, OFFICIAL RECORDS. CONTINUED ORDER NO. BU -192379-3 DESCRIPTION - CONTINUED PARCEL VI: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES 60 FEET IN WIDTH LYING SOUTHERLY OF AND SOUTHWESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE NORTHWEST CORNER OF LOT "A", AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WYANDOTTE ACRES UNIT NO. 111, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 15, 1948, IN BOOK 16 OF MAPS, AT PAGE(S) 15, 16, AND 17, BUTTE COUNTY RECORDS; THENCE NORTH 82 DEG. 04' 23" WEST, A DISTANCE OF 141.38 FEET; THENCE NORTH 81 DEG. 47' WEST, 180.00 FEET; THENCE NORTH 38 DEG. 42' 30" WEST TO THE NORTHERLY BOUNDARY LINE OF. THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., AND THE END OF SAID CENTERLINE. RECORDING REQUESTED BY MID VALLEY TITLE &. ESCROW CO. AND WHEN RECORDED MAIL TO: NEAL AN15PATRICIA DOUGLASS ' — 129 SHELTERWOOD LANE OROVILLE, CA 95966 ORO -C- A. P.N.: 036-230-056 900 1 —0052945 Recorded Official Records CoWTY Of CANDACE JT. GRU MS Recorder ROSEMARY DICKSON Assistant 89:WX 15 -Nov -2881 Above This Line for Recorder's Use Only Order No.: 192379MAM GRANT DEED TAX C FEE 68, 7755 Cindy Page i of 3 Escrow No.: 192379MAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $68.75 [ X ] computed on full value of property conveyed, or [[ 1 computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ASSOCIATES HOUSING FINANCE, A CORPORATION, SUCCESSOR BY MERGER TO FORD CONSUMER FINANCE COMPANY, INC. hereby GRANT(S) to NEAL -9:y'60UGI;ASS and PATRICIA L. DOUGLASS, husband and wife, as Joint Tenants the following described property in the unincorporated area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION ASSOCIATES HOUSING FINANCE, A CORPORATION, SUCCESSOR BY MERGER TO FORD CO S MANCE COMPANY, INC. By: JOHNL ERS, VICE PRESIDENT Document Da : November 6. 2001 STATE OF C. CO T�Y�OF WWI I personally appeared PC - personally (mown to 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 be/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the insm4nt *e person(s) or the aptity upon boagof which the person(s) acted, executed the instrument. MCNEUE L MEIER _ CCmMb *#1 2n65 4 8 Cdml ami Rbc t Dave Cautye)MyCamm.5m*mJunZ2D0A v Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ORDER NO. BU -192379-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 1, 1976, IN BOOK 60 OF MAPS, AT PAGE(S) 15 AND 16. APN 036-230-056-000 PARCEL II• A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 1, 1976, IN BOOK 60 OF MAPS, AT PAGE(S) 15 AND 16. PARCEL III• A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27, 1974, IN -BOOK 50 OF MAPS, AT PAGE(S) 12. PARCEL IV• AN EASEMENT FOR ROAD PURPOSES OVER LOT "A", AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WYANDOTTE ACRES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 15, 1948, IN BOOK 16 OF MAPS, AT PAGE(S) 15, 16 AND 17, BUTTE COUNTY RECORDS. PARCEL V• A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES OVER THE NORTHERLY 30 FEET OF THE EAST HALF OF THE SOUTHEAST QUARTER OF SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND OVER THE NORTHERLY 30 FEET OF THAT PORTION OF THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., LYING WESTERLY OF THE EASTERLY BOUNDARY LINE OF THAT CERTAIN RIGHT OF WAY DESCRIBED IN DEED EXECUTED BY CLESTEL R. HOWARD, ET UX, TO MILFRED W. THOMAS, ET UX, RECORDED NOVEMBER 3, 1958, IN BOOK 966, PAGE 92, OFFICIAL RECORDS. CONTINUED ORDER NO. BU -192379-3 DESCRIPTION - CONTINUED PARCEL VI• A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES 60 FEET IN WIDTH LYING SOUTHERLY OF AND SOUTHWESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE NORTHWEST CORNER OF LOT "A", AS SHOWN ON -THAT CERTAIN MAP ENTITLED, "WYANDOTTE ACRES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 15, 1948, IN BOOK 16 OF MAPS, AT PAGE(S) 15, 16, AND 17, BUTTE COUNTY RECORDS; THENCE NORTH 82 DEG. 04' 23" WEST, A DISTANCE OF 141.38 FEET; THENCE NORTH 81 DEG. 47' WEST, 180.00 FEET; THENCE NORTH 38 DEG. 42' 30" WEST TO THE NORTHERLY BOUNDARY LINE OF THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., AND THE END OF SAID CENTERLINE. STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAR4881 Manufacturer ID/Na'me I 90086 CHAMPION HM BUILDERS Trade Name MEADOW CREEK Model DOM I DFS SCS31C j 01/22/1991 09/19/1991 RY Exp• Date Serial Number I Laboinnsignia Number Weight _ Length I width SPC SCC Exempt Use Type t-0916312563 I RAD580199 i 17,200 60' i 13'4" 04 SFD LPT I i Issued Total Fees Paid Dec 12, 2001 $105.00 Addressee NEAL B DOUGLASS 129 SHELTERWOOD LN OROVILLE, CA 95966 w :a .tit :. - .•T. : � .r �. Registered Owner(s) NEAL B DOUGLASS PATRICIA L DOUGLASS Joint Tenants with Right of Survivorship 129 SHELTERWOOD LN OROVILLE, CA 95966 „ Situs Address 129 SHELTER WOOD LN OROVILLE, CA 95966 c - •• d :Y a J, — _ _'•ems., T . IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2227640 12122001- 428 Decal #LAR4881 has been lost. Date: / ---. 51 Owner .Signature: / BUILDING PERMIT NUMBER: 02-0052 Address or location of unit: 129 SHELTERWOOD LANE, OROVILLE, CA 95966 Legal Description of Real Property: A.P.036-230-056 SEE ATTACHED _. (x) Mobilehome/Manufactured. Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Y : Owner's name: NEAL B. DOUGLASS & PATRICIA L: DOUGLASS Owner's address: 129 SHELTERWOOD LANE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: RAD580199 SERIAL NUMBER OR V.I.N.: 0916312563 MANUFACTURER'S NAME: 90686 CHAMPION HM BUILDERS YEAR: 1991 OFFICIAL APPROVING INSTALLATION (A DATE: 1/23/02 PHONE: (530) 538-7541 5 H.C.D. 513C NEAL B. DOUGLASS, DL B1584917 1001 PATRICIA L. DOUGLASS, DL M0045669 ne 106 SHELTERWOOD LN. 530-589-1705 OROVILLE, CA 95966 903504�t2tt PAY TO THE I $ ORDER aO �j ':�6 .�� 1 s�L' /ems DOLLARS TRI COUNTIES DANK 1-800-922-8742 FOR 1: 1 2 1 1 3 504 5': 1001 088 2 74 l ,-42 January 28, 2002 Neal Douglass 106 Shelterwood Ln. Oroville, CA 95966 ��. utte Count L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 RE: Request for HCD 433 A (Mobile home on Foundation System) APN 036-230-056 129 Shelterwood Ln., Oroville Dear Mr. Douglass: The 433A that was recorded by our office on January 24, 2002; cannot be sent to H.C.D. for processing until we receive.the decal or a letter stating that the mobile home decal has been lost. For your convenience I have enclosed a copy of a letter you can sign and return in place of the lost decal. Should you have any questions concerning this matter, please contact Paula Atterberry at (530) 538- 7541 . increly, Paula Atterberry Plan Application Assistant I STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY.'"�" DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8 DIVISION OF CODES AND STANDARDS d� REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: Mobilehome 0 Commercial Coach El Floating Home 0 Truck Camper Decal (License) No.(s) L-A R # $81 I/We, the undersigned, hereby state: Trade Name Serial No.(s) 6Aezle- o yi651'm 3 I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on t-//��zP-� /� (Date) (City) ��/ (State) Signature(s) Address /Ob ,W City_"Z,��__ r.[7 (lint\ Printed name(s) "C 1;3L_' 1- b0 k 2 12, SS State. k r NOTES RESIDENTIAL " 036-230-056. 02-0864 DOUGLAS, NEAL 129 SHELTERWOOD LN.,ORO 12 MH DECKS s SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) , i Signature CHECKED BY r� i• r. i i - i r s SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) , i Signature CHECKED BY V = OK 0,= Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"tt./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining ' 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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- Bea ms- Rftrs.-Con nectors 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining ' 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready FINAL (Plans) OK except #'s RESIDENTIAL (� Date 64. Underfloor (Plans) OK except #'s 65. 1. Zoning -Setbacks -Easements -Flood -Slope Bedroom Exiting 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 68. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth Stairs & Rails 4. Ftg., Porches & Decks; Soils -Steel-/ f' Fig. Depth 71. 5. Stemwalls, Main; Steel -Blackouts -Wrapped Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 74. 6a. Hold Downs and Special Anchors A.C. Duct in Garage -Damper 7. Slab, Steel -Wrapped 77. 8. Piers -Fireplace Ftg.-Steel Elec. Receptacles in Garage (F.F.I.)-Romex Protection 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 Date 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Contiriued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes J No/Walks D Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT o. (Rev. 12/96) APPLICATION AND PERMIT � � ASSESSOR PARCEL NUMBER 036-230-056 ZONING BUILDING PERMIT OWNER Neal Douglas TELEPHONE 589-1705 SO. FT. OCC. BUILDING VALUATION 61.75 802 75 . OWNER'S MAILING ADDRESS 106 Shelterwood Lane Oroville CA 95956 147.75 1902.75 CONTRACTORS NAME TELEPHONE owner CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $9791-9( ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 129 Shelterwood Lane 0 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ex 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: 2 MH deck l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (P20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I eby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereb affirm under penalty of perjury that I am exempt from the Contractors License w the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. am exempt under Sec. Business and Professions Code for this reason Main Service 2uo, TO 46.00so COU000A NEW CONST. OWEWNG OCCUP. SO OR AADNS. ( a ACC. BLOB. 3.5¢FT: NON -RESIN. MULTI -OUTLET CIRCUITS QG 7.50 POWER APPARATUS a SINGLE OUTLEr CSI R. EX. OCCU OUTLET OR FDITURES BAL O 150 Ex. Occup. OuTi�rs qL D.D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 ereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) Viocfertitythat 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, d agree that if I should become subject to the workers' compensation provisi s of section 3700 of the Labor Code, I shall forthw'th comply with those pr Isions. /0" _ �-7J X D ems' r Contractor Ageht Igna re of Applicant -nin An OSHA permit is requir Ions over 5'0" deep and demolition or construction of structures over 3 storie MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE [TOAL FEE $ HA D. FE I FLOOD CDF PAR D SUE 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. By Date K PERMIT EXPIRES ON > �� I LDel Receipt No. -Fol 14 WHITE-D.D.S.-B.D. ANARY- SE` OR PINK-INSPE R GOLDENROD -APPLICANT ft r, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 PRone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER D P 05 Proposed Building Use: Counter Technician: Date: W/ aa- �__ off_____ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. •ot plans, 3 or 4 sets, signed by the preparer of the plans. mplete plans, 3 or 4 sets, signed by the preparer of the plans. 6�ngineered 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 duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed 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, io 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 -Rewining items needed to issue the permit. (May require additional lan review upon receipt of the following items.) �/Y... s �.Fees as shown on the attached Schedule of Fees Due Sheet ............. ................ 5. tatement of Intent fbr Non -heated and A/C Buildings ............................................ anitation and plot plan approval from the Environmental Health Department in T. -City of Chico Plumbing permit ............................ ............................ 118. California Department of Forestry plan approval paid. Sent by: ❑ 19. Planning approval for (A) Use: OK (B)Parking: (C) Parcel Check: Li-2tj��U2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27:LRecorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 31. Other: hen issued Telephone 7 Z2 23 and hold for pickup. I have been informe oLt above items a requirements fonte, 'ning a building permit. > cant: `�'� 1. Index permit application for the above i msn mbered: ; Plan heck Letter 2. Additional items required Contractor, designer, E21 was advised of the above data by OKphone, ❑ mail, ❑ counter, by Date: cSlak Contractor, designeAvas advised of the ab o e data by hone, ❑ mail, ❑ counter, by fZ✓.3 Date: Plans reviewed by: Date: 5 3 Plans approved by: 2r�,. Dater Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date:r Yellow: Building Division o gd tevl � J 12.3?I*-- Ab Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date \t E.H. USE ONLY • � Plot Pian AMechad ' Floor Man Attached Sent to S.D.,�/ TO: Building Department Health FROM: Environmental SUBJECT: Sanitation Clearance Of a 11/9 LA Owner J Location AP# Plan Approved for: Sewage Dispo~al` Water 4-, Supply: Public Private Weld �— Clearance for dwelling. Other-/ X j- L, /o Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 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 ;p'An toprovide th major labor and materials for construction of the proposed property imvement :YES NO 0 HAVE V HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. ( have contracted with the following person (firm) to provide the proposed construcgon-)) _ 1 CITY: PHONE: CONTRACTOR'S LICENSE 4. I plan to provide portions o s work, but I have hire a following person to coordinate, supervise, and provide the major w NAME: ADDRESS: PHONE: / CONTRACTOR'S LICENSE 5. I wil vide some of the work but I have contracted (hired) the following =OFW vide e work indicated: NAME ADDRESS PHONE TYPRK SOCIAL SECURITY NUMBER: / DATE- �� NOTE: ThisOwner-Builder Verification is required by Section 19831.and 19831 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. OVER OWNER BUILDER -INFOPNMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 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. I+Micel �� Vi iia, C.B.O.uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER oda OVER "a1d �'•�' �� 'F. � � . ° r^l� '�`" rr .. • • - r, C"Q.•�'�p '1 °i-3+ • �.rr�Y'4 .ri' :. ... !- ^ s t �r��g Wr^Y �.t..�l �'h•�i�Yt-aR"a.��'.. ♦�;y ,�,:- ' ..- .. � � . �� k A`'tW 07 fl- ...�' } �` .; • - .. E' .�'Y'rF^•�^� f(�:}cii:' Lng 1..y � '�. vOT,E; P See the attached �eSident��t r*.,.,.�ate.. ��- eau,rements :oma a2 t� 1 C� 9'y OOTI/ r F APPROVED Butte County j Environmental Healtb / Date ------------ Signature </> ` BUTTE X: �HT� F DIVISION- BUILDING PLAN APPROVAL ZDate: 2EBUILDING DEPARTI�IE� LaryE D�zr - APPR . �'e--> N �� 1t �� coverzcv VY /�� SNbltr►��nl�j a ,, 7 ,,,.► 2 v"E%:r 6 nn 4 s p is:r A) Deck Co�r� l . /" �� t 4 Xq 3it Iz y iAry BUILDING D .. EPART r p y... APPRObE.D f ,i 4• i x �!!Gr5 Vlore t�,r }f �1k 3 a,� $ick 17� c� 'L IA radQ-e._ + d 4��z r'411.o.,LS �lj F'• t b� �� ,�►. 5�� si�T •.• 1 � _ Fill 5+'O r o � .. were- ri s e,- I d -tm yLk a A '= VAR Y=S 36" MIN. Log a m X m I -Pl. x rn i/ 34 ��/HAMORML VEIGHT L� a Lui m c D .J i x 4, �1 4 X N • 3 C D • 70 1 al m rn D � 0 � � O m _ L�/ C 2 Log a m X m I -Pl. x rn i/ 34 ��/HAMORML VEIGHT L� a Lui m c D .J .—_i s �✓ _ � CrMAX. 4j� � Gln a L 'M AX. 3° rn �13 --f r,3 toy _ -4-�- p ;; o er y l ®` c ?o 3 l May 1995 6.5 36"'MIN. STAIR W I DT4 i 4 X N • 3 .—_i s �✓ _ � CrMAX. 4j� � Gln a L 'M AX. 3° rn �13 --f r,3 toy _ -4-�- p ;; o er y l ®` c ?o 3 l May 1995 6.5 36"'MIN. STAIR W I DT4 January 25, 2002 Mr. Neal Douglass 106 Shelterwood Ln. Oroville CA 95966 RE: Building Code Violation 129 Shelterwood Ln., Oroville CA 95966 AP # 036-230-056 Dear Mr. Douglass: Co, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. e, Failure to obtain the required permits, inspections and approvals from this office for the construction of two (2) covered decks. Since special inspection reports are required for the above work, please submit said reports for review. Final field authorization cannot be made until the special inspection reports are reviewed and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford " Chief Building Inspector f— SR: tp cc: Assessor s0A 7-.;, <RESIDENTIAL 60 36-23-56 3066-91P,E HEMSTALK, Todd i 129 Shelterwood Ln, Oroville cont: MH Center (mh util) JOB FINA Signatur OFFICE COPY Address 1 2l GAS 1 Q M Meter By Date ELECTRIC Meter By Dat � JOB FINA Signatur J=OK 0'= Not OK Not Applic Not Rbadyable MOBILE HOMES Date MOBI OME UTILITIES Plans OK except #'s Zo Requirements -Setbacks -Easements oils ecial MH Support Sketch ewer cation -Test -Fall -C/O Concrete ater cation -Test -Easement Needed (Sketch) ectri ' , Location-Clearences-Grnd-/ /Amp -Concrete as; Location -Test- / /"L"ft. / /" at. or/ /"L"ft/" LPG Ae'WeIL-Clearance & Disconnect -9Uility Clearance Date— Date " % Card B- Date Card B-1 Card 1 Date Card B-1 Date MOEIM HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements Size -Spacing -Marriage Line ��tings; �9a'k; MH Test-Demand-Valve—Connector _J•_[lectricity; MH Test -Crossovers -Breakers -Clearances 5 ain; MH Test -Fall -Flex Connector ��ter; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged ,r9'�xits; Insp.-Sketch . Cert. of Occupancy Dat - r ( Card B- Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK. = Not Applicable RESIDENTIAL (� ;Not Ready Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- - --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------- ----- ------------------------- ---- 18. D.W.V.;--Test-Fittings & Anchor -Nail Protection ------------ - ---------------- - Shower Pan; Test, First Floor -Tub Access ---- -- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------------------------------ --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------- 23. Dec. Receptacles Spacing -Lights & Switches at Doors -- Dec. 24. Size Boxes & No. of Conductors -Stapled ---------- ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water --------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------'--------------- - ---- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At -------------------------------------- ------------------------- ---- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral ❑ Yes- - ❑ No ---------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - ---------------------------------------------- --------------31.--Equip Clearances Panels-Motors-Mech. Equip. -------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------- 33. -----------------------------33. Smoke Detector ---------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support ------------- ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------------------------------------- 36. -------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------- - ._.. - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------------------------------------------- ------------------------------------ 38. ----------- ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------- --------------------------------------------- Date Card B_1 -------------- Date - Card B_1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - --- - - ---------------------------------------------------- - 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ------------ ---------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ----------------------- ------------- ------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing f angle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. -Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------ --- 55. Siding -Nailing Veneer -------------------------- __---------- 56. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's __ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------- -- 63. --------------------------63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- --------------------- 64. Bedroom_ Exiting ------------- 65.--G.-F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------- ------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------------------------------- - 69'-Elec.-Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -- ---- --- - --- 71. - 71. Elec. Outlets & Receptacles at Kit. Counter ---------------------------------- ------ 72. Garage Fire -Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ----------------------- --i----------- 76. Elec_ Receptacles -in Garage: (G_F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic C1 Yes ---------- -------------- - --------- - ___ - ----------- 78. - - ----------------78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth - Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: --------- -------Planters ----------❑---Yes -----❑ No--------- -- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - -- - --- - ----------------------- --- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to _ Openings 84. Water Well; Disconnect, Electrical, Plumbing -------------- --------- - - -- - - ----------------- 85.-.Exterior-Elec.-Trim: G.F.I. Receptacle- Underground -------------------- -- - 86. Ventilation Throughout House - - - -- - - - - ---------------------------------- - 87. Glass Protection --------------------------------------------------- 88. Corrections from Previous Inspections ------ ---------------- 89.- --- ------ 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval-- 91. Energy Compliance Certificate -Other Certificates -- ------ --------------------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 --------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541' PERMIT NO. Y/ (p(a — ` Address or location of mobi lehome P � / 7 1L Cj (5 -0 D Owner's nameA- -�^`� A'-1 41 . � z� Owner's address 7S ��L�� r�� t,vy 0 `v Insignia or hud number CACO) R Manufacturer's name 'i �� umber�of V,I.N.�� 5-6 Year of manufacture .l) -1 5�_ (6-qi (Offic`ial Apprk4ing 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. COUNTY OF BUTTE F DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ^(,fLl- 3o67- ,� OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4 '/ C/- � /�?l ck -5 T- /�' Date �' /t`� q4 Insp ector //3- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cgunty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-23-56 ZONING AR 5 BUILDING PERMIT OWNER TODD HEMSTALK TELEPHONE 589-1689 S0. FT. OCC. BUILDING VALUATION 784 OWNER'S MAILING ADDRESS 75 SHELTERWOOD LAND OROVILLE CONTRACTOR'S NAME MOBILE HOME TELEPHONE 1533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN I Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 129 SHELIFEWOOD LANE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping, 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome(� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW =F 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ � tilities El_Installation Ot r ❑ Describe work: �. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I d lar, oder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$ines$ and Professi s Code and my license is in full f rce and ffe t. License No.;2 Classification. �_ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N New DCONS. A ) , /2Qsgft ULTBI OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp�OUT LETS OR FIXTURES 20®30C 5AL030 EX. OCCUp. OUTLETS IFIXED PRESID ILNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ve placed on file with the County of Butte Building Department I haifi a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I ree to comply to all County Ordinances and State Laws relating to building cons ction, an�.rlere authorize representatives of the Countyot Butte to enter up the above-menti0 ed property for inspection purposes. i I also aggree to ave, in emnify and eep harmless the County of Butte against all liabill i Jud ent , costs, d expenses which may in any way accrue against d ou y in c rise a of the granting of this permit. r amt. �i� Z�_�1� _ Date Signature of Applicant — Owner El Contractor 5a 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 70 " 0 IiAZ. cUA PARK scH c P P i H Iss This permit is hereby issued unaer the applicable provi-' sions of the Butte County. Code and/or resolutions to do work indicated abov for which fees have been paid. DJREQ R OF -PUBLIC WORKS B 6 Date PE MIT EXPIRE Date Receipt No. _9.7.37£ 7n -no WHITE-D.P.W., YELL—.W-_AS.E3SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER / O �Iem5� / A. P. No. %' 2 3 ' Sb Proposed Building Use A�J c "a- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. C8. Engineered truss details and layout in duplicate (required prior to plan check) . Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $' ........................ 11. Chico Urban Area fees paid....................................... Park fees a' ............................................ fro • ��,��rt.,- School District fees paid . jl " 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 21a. Letter of signature authorization ................................... _ ,)::- When you Issue the permit, rocess as follows: Mail to owner. Mail to contractor. Telephone L and hold for pickup at of.ice. Deliver w/inspec Other f I _ . Applicant Copy of Haz-Mat form sent Health Dept. Copy of plans sent Health Dept. Fire Dept The following data must be submitted prior to 1. Index permit for above items No. e 2. Additional items required: 5 Pollution Date her Date By rmit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by _date Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date Pans checked by Date Plans approved by At'l Date Sets of plans on hold in File cabinet AP folder Copy—DPW • BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per.Building) A.P. Number, Building -S% Building Department No. 1 School DistrictorO Lfe-1 1 1 r y City [:D County © Jurisdiction ,i Property Owner. fnnya Ileum ;fc.( Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage 7ls # of Living MHI' Addition (Group R) Units Commercial/Industrial: ' a Sq. -Footage New Addition (Including Exterior Roofed Areas) u'ilding(Depaftme t epresentative Date (Floor Plans reviewed by School District Personnel) District Id No. op ;... School District certifies that (Applicant Name) (Phone Number) (Street Address), (City) (State) (Zip Code) has complied with the requirements of. Resolution No. F by the payment of $ 11�3e representing 2&fz/ square feet. School�D1ys'trict Representative - Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 014NER PERMIT #�i (p�j MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES NO YES NO I STATE OF CALIFORNIA Butte Iss. COUNTY OF I On August 22, 19 91 , before me, the undersigned, a Notary Public in and for said State, personally appeared Paul W. Farris , personally known to me (QLI Q4(KrKWXphiKt)GDJgVXtX4vXXXXXXxxxxxxxXxxxxxxxxxxxxxxxX �{�f l�vi£it36 s�r3b i 1` klbr�v3b16Yh;Ktobethe person whose name issubscribed tothe within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That he/ resides in Orov i l l e , CA that heAM was present and saw Todd Hems to 1 k , personally - known to him/HNo be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her name as a witness thereto. hand and official seal. ® OFFICIAL SEAL • • ANON, 0. f.ASTEL OTTO • • NOTARY PUBLIC-CALIFORMA 0 • Principal Office In BU rE Count I • My Commisslon Expires SEPT. 1419- ® • 0 0 0 a Signa ti v \ ��:L�D (This area for official notarial seal) Angela D. stelotto r FOR'.RESIDf-.NT1AL I)CVLi,OPMFNT _ 5,.S -q:: 'Section 26-8v1 of the Butt� ounty Code 9 requrf_6- this acknowledgemenL�be recorded-. • prior.to.issuunce of.a building permit. The property described herein is adjacent Lo land or included within an area zoned for 91-435699 1 Rec Fee 7.00 agricultural purposes, and residents I STF 1. 00, of' Chis property may be subject to incon- Recorded I Cash 8.00 veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including Recorder J but not limited to culti.vaLion, plowing, 10:20am 28 -Aug -91 I XX I 2 , spraying, pruning, and harvesting which occasionally generate dust., smoke, noise, and odor. Butte County has established tiericul- Lural zones. which have as a priority use for productive agricultural purposes, and residellls within said zones and on adjacent property should be prepared to or disconform from normal, accept such .•iric<�rrvv11 i c�nc-v necessary farm operations. All that real property situate. in the County of Butte, StaLe of Californi.a, described i'ollows: SEE ATTACHED LEGAL DESCRIPTION Date: ROPERTY OWN SLate of. ) On this the day of , l9 , hefc>ry mc. SS. the undersigned Notary Public, personal.ly appeared County of ) �f ,Present A.P. No. �Jp E] Personally known to me. 11 Proved Lo me on the basis of satisfactory ev idoilce. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contal.ned. IN WITNI-XS WHEREOF, I hereunto set my 'hand and official seal. ahl Notary Public IA.\ \I I: It , • 9 I -35599`'' ORDER NO. BU -114242-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF '''CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I PARCEL 2, OFFICE OF " CALIFORNIA .15 ;AND 16. PARCEL II: AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE THE RECORDER OF THE COUNTY OF BUTTE, STATE OF ON DECEMBER 1'; x976, IN BOOK 60 OF MAPS, AT PAGE (S) A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC .UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF .. CALIFORNIA, ON DECEMBER 1, 1976, IN BOOK 60 OF MAPS, AT PAGE(S) 15 AND 16. PARCEL III: A 60 .FOOT. NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF -THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 27, 1974, IN BOOK 5.0 OF MAPS, AT PAGE(S) 12. PARCEL IV' AN EASEMENT FOR ROAD PURPOSES OVER IAT "A", AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WYANDOTTE ACRES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF, CALIFORNIA, ON MARCH 15, 1948, IN BOOK 16 OF MAPS, AT PAGE(S) 15, 16 AND 17, BUTTE COUNTY RECORDS. A NON—EXCLUSIVE EASEMENT FOR ROAD PURPOSES OVER THE NORTHERLY 30 FEET OF THE EAST HALF OF THE SOUTHEAST QUARTER OF SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND OVER THE NORTHERLY 30 FEET OF THAT PORTION OF THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., LYING WESTERLY OF THE ENTERLY BOUNDARY LINE OF THAT CERTAIN RIGHT OF WAY DESCRIBED IN DEED EXECUTED BY CLESTEL R. HOWARD, ET UX, TO MILFRED W. THOMAS, ET UX, RECORDED NOVEMBER 3, 1958, IN BOOK 966, PAGE 92, OFFICIAL RECORDS. PARCEL VI • A NON—EXCLUSIVE EASEMENT FOR ROAD PURPOSES 60 FEET IN WIDTH LYING ' SOUTHERLY OF AND SOUTHWESTERLY OF AND ADJACENT TO THE FOLLOWING is DESCRIBED LINE: • BEGINNING AT THE NORTHWEST CORNER OF LOT "A", AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WYANDOTTE ACRES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 15, 1.948, IN BOOK 16 OF MAPS, AT 1.. PAGE(S) 15, 16, AND 17, BUTTE COUNTY RECORDS; THENCE NORTH 82 %'.t°,'•.. DEG. 04' 23" WEST, A DISTANCE OF 141.38 FEET; THENCE NORTH 81 `DEG. 47' WEST', 180.00 FEET; THENCE NORTH 38 DEG. 42' 30" WEST TO THE NORTHERLY BOUNDARY LINE OF THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., AND THE END OF SAID CENTERLINE. Lhd UF WCUMEN , .. X11. '`r,•.1'. e��.`� .. .. .. i i`^ 4ND OF DOCUMENT !!r• �t - 2•• t..,., . j .,h, .. �"J'rjYd. b 44 1i'. � I: y'st I COUNTY OF BUTTEY- DEPARTMENT OF PUBLIC WORKS 1' 7 County Center Drive - Orovll.le, Callforrtla 95965 - Telephone: 918/538-7541 APPLICATION -W PERMIT PERMIT NO. ASSESSORZARCEL NUM13MIl 36-23-56 ZONING AR 5 BUILDING PERMIT OWNER TODD HEMSTALK TELEPHONE 589-1689 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 75 SHELTERWOOD LANE OROVILLE CONTRACTOR'S NAME MOBILE HOME CENTER INC TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checking Fee 9Y ec9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 129 SHELTERWOOD OROVILLE Permit fee ; 00 1 ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. ��- SUBDIVISION NAME PARCEL MAP (o- t 5 Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00ea 30 00 i TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: MH U I Permit Fee $ 40 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV DR LESS 100 AMP OR LESS 10.00 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 Prof essy s Coc� al�my license is in ful force t1 effect. License No. Classification. v El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S OR ACDNS. ACC. BLOGS. , /20sgft NEW CONSTR MULTI -OUTLET NO N.RESID BRANCH CIRCU ITS 2.50 ea /POWER APPARATUS &) %SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES eA m30 Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. 1Yirin 9 15.00 Permit Fee s 35.00 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. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction aT ere authorize representatives of the County of Butte to enter upon th bove menti ed property for inspection purposes. I a�S.o�' ree t save i demnify a keep harmless the County of Butte against H liabiliti ' d ts, cost , and expenses which may in any way accrue against Id C unt cons ence of the granting of this permit. / �i �f/ Date Signature of Applicant — OwnerContractor Agent ❑ An OSHA permit is required for excavations over 5 0" deep and demolition or construct. on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL F E 90 00 HAz. cuA ARK SCHL FL , F PAR P i Iss This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. RE77PF PUBLIC WORKS BYDate ALL'04 It_ PERMIT EXPIRES Date Receipt No. 97376 90.00 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT A—;0 `Yt.�i!}C+�+ir:Jr{cn'i^.ti 3^, ..,.iM7,F y ";:A�x� �y..1-u'`�.'�- � R..-r-,�.Y,� r COUNTY OF BUTTE - DEPARTMENT, '"PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIVTL-CCALI`RORNIA 95965 - TELEPHONE: 916/538-7541 1 PERMIT APPLICATION DATA SHEET Permit No. OWNER r� 1 ��t �PVYI S tCA I �� A. P. No. 36 ' 3 "-S-6 Proposed Building Use./0061,6e H17M 0-- Building Inspector 972_ Date 8'-2��`'t� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. • Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ' 8. Engineered truss details and layout in duplicate (required prior to plan check) w� 9. Mobilehome installation data including manufacturer's installation instructions ................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. P Park fees paid .................................................... 13. 4. School District fees paid .............. Sanitation approval from OT-Ovi «Q- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 0-6'49. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, proc ss as follows: Mail to owner. Mail to contractor. Telephone ld for pickup at. office. Deliver w/inspects. Other Applicaryt� .Date 1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ^11 Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required da /by_phone_mail�, ou er by date PI a s checked by Date P ans approved by �/// Date _ r Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 7oJ owner location AP # u Driveway permit �/�B„�e A ge lej has been issued for the above property. . n b ,a 7 - •date sign 4 re TO FROM: Buildina Department Environmental Health SUBJECT: Sanitation Clearance s owner Location�rp p AP#owner d O RC2 Plan Approved for: Hold final for: Sewaae Disposal Pinal clearance O.K. for: A- 7�) k,Lq�t dr �a�Clearance forbedroom mobile home. Other NOTE *'• Sanitarian Water Supply Water Supply Water Supply Dat A MOBILEHOME SUPPORT DATA f If other than single wide, (�/ Mobilehome 4f lFi'�/ q up Model No. Year l Width along or Ex ando Size eft, x ft. kidth (ft. ) Box Length g f p �- n On all mobilehomes manufactured ter 973, furnish manufacturer's installation manual and structural setup sheets (if with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)71. Concrete block. a 2. Other (specify) Pier Footing Sizes and locations SINGLE -WIDE MULTI -WIDE Line 1 _ Line 1 Main Beams�\ Line 2 — — — — Main Beams ]EI:2 �Line 14 Tag or Triple line 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ---------- Size -Min, --------------- Spacing -Max- --------- Each Side of Openings From Enda-Max.------- With Width Over------ -- Line 2 Piers: Size -Min .----------- J Spacing -Max.-------- From Ends -Max -------- Line------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ location (From Front) Line 3 Piers: (Under Bear -Wall Only) Size -Min ------ - !x Spacing -Max---------------- \ , Fronds -Max.------------- '- y „x111 „x �, ,A x „x11 „x 11 11 Line 5 Piers: (Under Sear FWalls Only) k / Size -Min.---------- , Spacing -Max.--------------- '- _ „ From Ends�Max-------------- ,_ „ BUTTE COUNTY DL�iART1AENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Uial 2. Installer's Name: 3. Is the site currently under permit? �7� Yes �No LJ (If yes, furnish permit number ) OR Is the site an existing site? - Yes F-1 No (If yes, furnish two plot plans.) /,Ok)(:Z-- 4. Will the mobilehome be located at least 5 ft, away from sept' tank and leach fields and clear of all setbacks and easements? Yes No Cj (If no, clarify a 5. What is the mobilehome electrical rating? --------------- ( �� Amps 6. What is the mobilehome site service rating? ----------------Amps Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 1 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes F-1 No iP� (If yes, identify the load and size: (Load) (Amps) -------------- 7/5/ (in. 9. What is the mobilehome site gas pipe size?) 10. What is the type of gas service? -------------- ----- Natural LPG 11. What is the gas pipe length from meter or tank to the / mobilehome?--------------------------------------------- ,� (ft.) * 12. What is the mobilehome gas demand?----------------ou= (BTU) *(This information not required if pipe l hia�e; th 6. f.t. on natural gas or less than 50 ft. on LPG.) AMU �r TMEN! 4; 4 BUILDING DEPARTME 7�* This,set of plans and specifications MUST be ' (;,At kept on the joC at all it is unlawful to' make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. /47S: o_ r NOTE:—All. Materials &,WorkmonshiSh6ll B in Accordance with Reco4nizbd. Good. Pr6'ciices nd of a qU61ity prescribed 'for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code, 1CX> N A setback'of 9 ft. from the propertY lines and a setback of So ft. from the road centerline shall be clear of structures or equipmerit except r. 5 ,f, +, N, �. « 4« for a 2 ft,eavlB, �e 0�� , , s Overhang--A-�b e Cz6A2, or ALL, �044� �' N'Q V MUS X perm,"t A Re Mrillreg for Me installation of the rno6ilebome. I 4 BUILDING DEPARTME 7�* COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL B ILiZ-ING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. PAI 60— /("1 ZONING 36-23-56 i2 OWNER PHONE NO. Todd Hemstalk 589-1689 OWNER'S ADDRESS 75 Shelterwood Lane Oroville, CA 95966 LOCATION OF BUILDING W1.5 Shelterwood Lane CV, 1600 `NoL HolloW t -A , Oroville, CA USE OF BUILDING Horse Barn SIZE OF STRUCTURE' 30 x. 40 = 1200 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ldood Comp. Concrete ESTIMATED COST OF CONSTRUCTION $ 3000.00 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain anyxn.ecessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy Date October 2, 1990 Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a b96ing permit Receipt No. '235Y 235g FLOOD PARCJ VIR071ISSUE Director of PuZM By Date (9 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant W OWNER—' ,.e Al :•'k�F:r-.:::Xa�Q'ti ..�.�`''-..+:+ti �iY`y#.i�►i-r.-`t. vti...jvY'�✓"`I�.,.T:_-:_'`.'�. yr�."�'-�a`ft..,:Jcr - - -. .. f COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - Ol OcV. E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT <11",1010N DATA SHEET Permit No. A. P. No. -d3 4* 2-3 4 O 5702, Proposed'BuiIding Use 46DA?55�' /U'41Building Inspector S Date r At time of permit application, I was advised the`following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .............. .................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... ' 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .......................................... 10. Fees of $ ..... 11. Chico Urban Area fees paid .....................�.... `!........ ' 12. Park fees paid ............................... .. .41...:........... 13. School District, 4ee aid ........ 14. Sanitation approval from Health Department + 15. City of Chico plumbing permit ..................................... R 16. Plot plan and business license approval from City of (see City for other requirements) i 17. Planning approval for (A) Use:' (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit'(construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to 1 4, • ' ' Building Inspector (Date) 21. Contractor's, license -information (No., Name Style, Classifications ... 22. Certificate of Work'ma s Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑)'�. / 24. Recorded copy,of Agricultural Acknowledgment Statement ... .: l 25. Letter of signature authorization ............................. ....�. . 26. 27. When you issue the permit, process as follows: y, Mail togwner. Mail to contractor. 3 Telephone 5_`�-%6`� and hold for pickupiat O d office. Del.i.ver w/inspector. Other Applicant 'ice .Date C)ocyc L Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Dates By The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. i 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date -Plans approved by File cabinet AP folder Date