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HomeMy WebLinkAbout028-330-033GARAGE CONV WITHOUT PERMIT 2/24/92 YL 15"1 YIV ` 28-33-33 tON B.PtCHER,,,„ �f S/S Los-Verjeles Rd-.- on Damron Rd;, a 1/4 mi off Los Verjelesorovil e :ont: Schiedeck Const, , 'ermit #2143=85P,E(e1e Rug/dcFef� .28-33-33 Per .113225-85P,E(MH util) ELEC. . S a�tc�t. 4204 GAS L Pep �• COMPACTION.. -TEST REQ. SUPPORT STRUCTURE -RE Ye rmi�4g1-86MHI ins r'a•11 rMH) T Q Q.t-rr n 25-23-33 1180 Damron Rd, Bangor Permit#218-88B9E(new private garage) X28-33-33 92-983BPE BELCHER, Ron. 180 Damron Rd, Bangor conv port .garage . to• hob'b cl ' T Y shop 028-330-033 94-1033B BELCHER, RON 180 DAMRON RD., -,BANGOR .COMPLETE BP#92-983 (W/O BATH) '028-33,0-033' � ` PERMIT#96-0260_ BELCHER," Ron 180-Damron Rd. Bangor, Complete,BP#92=983 - 028-7"33-0-033 97-2558 B,E' BELCHER, Ronald 180 Damron Road, B g©r (conv port garage to hobby shop/ permit to complete/96-02605 06-1561 028-330-033 BELCHO R,ORONAL D 180 DAM Cont: MFG H / �b MIH PERM F \6 — i 19-11 G p g g ;i ,r - I t ` 28-33-33 tON B.PtCHER,,,„ �f S/S Los-Verjeles Rd-.- on Damron Rd;, a 1/4 mi off Los Verjelesorovil e :ont: Schiedeck Const, , 'ermit #2143=85P,E(e1e Rug/dcFef� .28-33-33 Per .113225-85P,E(MH util) ELEC. . S a�tc�t. 4204 GAS L Pep �• COMPACTION.. -TEST REQ. SUPPORT STRUCTURE -RE Ye rmi�4g1-86MHI ins r'a•11 rMH) T Q Q.t-rr n 25-23-33 1180 Damron Rd, Bangor Permit#218-88B9E(new private garage) X28-33-33 92-983BPE BELCHER, Ron. 180 Damron Rd, Bangor conv port .garage . to• hob'b cl ' T Y shop 028-330-033 94-1033B BELCHER, RON 180 DAMRON RD., -,BANGOR .COMPLETE BP#92-983 (W/O BATH) '028-33,0-033' � ` PERMIT#96-0260_ BELCHER," Ron 180-Damron Rd. Bangor, Complete,BP#92=983 - 028-7"33-0-033 97-2558 B,E' BELCHER, Ronald 180 Damron Road, B g©r (conv port garage to hobby shop/ permit to complete/96-02605 06-1561 028-330-033 BELCHO R,ORONAL D 180 DAM Cont: MFG H / �b MIH PERM F \6 — i 19-11 G p g g ;i I e - - 028-330-033 06-1561 BELCHOR, RONALD, urrf�A F-` NOTES 180 DAMRON RD, BANGOR Cont: MFG HOME°��■�� M/H PERM FNDMW) I RESIDEN-T'IAL APN: Owner. — Site Address: Contractor. Type of Permit: Permit No. OFFICE COPY Address cis' o^ • r. GAS Meter By /9Gc9r DateC ELECTRIC Meter By Date CHECKED BY SRA FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED �• 0 SPECIAL INSPECTION ITEMS oVERIFY F USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE Manufacturer`'- Date of ManufactureU - Z�-'o Serial Number(s)�_,g > HUD Number(sF_ 5� . DATE JOB FINALED: �� SIGNATURE: •=OK 0 = Not OK MANUFACTURED HOMES j; MISCELLANEOUS - DATE P RMANENT FOUNDATION Lj SOFT -SET COVE R S'C A R P O R T S'G A R A G ES 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-0pthSpacing-CnnctrsSteel oningSetbacks-Easements oils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUCIO-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Lo Test -Easement Needed -Regulator Stairs-Guard/Handrails Elec tn-Clrncs-Gmd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Gas; Loan -Test Wrap Nat ❑ or LPQ Frmg-Brcng Inch Sz Ft Lngth ickn ; SzSpaclng-Marriage Llne 5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors as Test-Demand-Valve-Cnnctr 7 Electric ec MH Cntnty Test-Crossovers-Breakers-DIrncs 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing-VengerStucco-Lath 11 Wtr & Sewer Connected -CIO to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation ftUY 11 ESteps-Doors-Landings xt 12 Braced Wall pnis 5 f Occupancy HUD LabeUlnsignia Numbers Serial Numbers DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactlonStructure Stability w 3 Pool Structure; Steel-Dnnctns-Thickness Dead Men4Jning 4 Elec Rcptcls/Lting; Distance-GFl 5 Elec Pool Lting;15 volts -GR 6 Elec.Encisrs; Conduit Entries-Terminals4-isted - �.� 7 Elec Bonding; Metal w/5-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Encisrs-pntboards-lnsultn to Main Conduit 9 Health Dept AppM 10 *Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide dA �� oil Pool Drawing { . 4 ' 1 RESIDENTIAL DATE JUNDERFLOOR 1 Zoninoetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ftg Dp.p 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg ppth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fail -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation o'r �s• o'd �s� DATE FRAMING 17 Silts Proper Materials & An 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & BeamsSi &'Bearing" 23 Hangers-Posf'Caps-Anchrs-Cnnetns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or .. ype A Flue=Frplc Throat Cimc 26 Attie Acc; Sz &'Rmz Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall .& Opngs' 30 Ext Doors -One 3' -Check Ga •rage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4-anding-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W al Is -Ceilings 39 Infiltration -Walls -W ndws 4 �� o' �41 DATE JELEETRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz oa ❑CU or ❑AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ , ❑ CU or ❑ AL Oven Circ , [:ICU or DAL Insulated Neutral ED Yes 0 N 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnts-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cime-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Nr -Gap -Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Dampen 80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Locin 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler Single & Duplex) DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tuti & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas.Piping o0 os` DATE IMECHAKICAL 61 AC Ducts Insults & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace In attic ,00--0,y' oe kyr DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GF1A Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cime-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Nr -Gap -Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Dampen 80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Locin 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061561 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 0$/22/2006 APN: 028-330-033-000 the Business and Prof ions Code, and my license is in full force and effect. License '54 Lic rise Number: c 0&1 G� �(� Site Address: 180 DAMRON RD BAN Map Index: Date: Contractor: wk•iTi ,v Description: MH PERM FND 743 SQ. FT. REPLACEMENT OWNER -BUILDER DECLARATION I 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BELCHER RONALD E to its issuance, also requires the applicant for such permit to file a P O BOX 109 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section BANGOR, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95914 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 Code: The Contractors' State License Law does not apply to an Applicant: AMERICAN MFG HOMES owner of property who builds or improves thereon, and who does 880 ONSTOTT RD such work himself or herself or through his or her own employees, YUBA CITY, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95991. year of completion, the owner -builder will have the burden of 530-751-2728 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 not apply to an owner of property who builds or improves thereon, Contractor: AMERICAN MFG HOMES and who contracts for such projects with a contractor(s) licensed $$0 ONSTOTT RD pursuant to the Contractors' State License Law.). YUBA CITY, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95991 530-751-2728 Date: owner: License #: 846086 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: Carrier: Total Square Ft: 743 S. F. Policy #: Valuation: $48,295.00 Z W -Z f4 Jif I certify that in the performance of the work for which this permit is Census Code: 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 ould become subject to the workers' co pen n provis* ns of Section 3700 of the Labor Code, I shall YYYY tttt forthwi c lyw' th provisions. 9� Date: Ik Applicant: �_V O(O ecure workers' compensation coverage is WARNINTnddollars unlawful, an employer to criminal penalties and one ��L.� hundred ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Laboriv��q�. code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or- I hereby affirm that there is a construction lending agency for the Resolu io s to d wo rk indicat d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 4fthm Da`: `2 Name: BY PERMIT XPIRES ON: R Address: (Date) ❑ I 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 ow r r th du uthorized 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 substan e o n off i I form ocument of Butte County. I hereby ounty to enter upon the above mentioned property for inspection purp ses. authorize representatives of BR111 r✓ ')Signature: Print Name: r� AA Date: i3 Y7i o ❑ Owner 14 Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 w\uw.buttecounty.netldds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner BELCHER, RONALD APN No: 028-330-033 Permit Type: F- Subtype: App Date: 6/28/2006 Permit No: BP 06-1561 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204'98 NON-REFUNDABLE portion of fees due at application $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT �$334.77 $329.94�,�1�l _0�A_ �` $4.83 �t(/I 'Ogg, LL. t11 g8 V 455991 6/28/06 Tammie 4 5 6 7 7a Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) ----)'RA Tee, Rb�o( al Sepora4e, dveK t- &60 Other*: Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 04/15/06 Per Dwelling SFD 1per Dwelling MFD Per Dwelling County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD R-1 tioc R-2 8801.091 7395.041 8897.09 7491.04 8390.09 6984.04 8486.40 8582.40 8075.40 R-3 7604.09 6198.04 7289.40 Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# $200,00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. RECEIPT DATE Tech/Asst 455990 6/28/06 Tammie RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst I F I PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check I is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "* may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGL61i✓ S16k 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: i ASSESSOR PARCEL NUMBER OCR U 3 30 7 3 - Proposed Building Use: 040 M#�aPermit Technician: Date: C%^ b CJ�v Items required in order to doply for a permit All boxes M ST be checked OR marked NA in order to apply. 1. Site 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. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ; — 8. Manufactured homes: 0; Installation manual, including marriage line info, Floor Plan, (FTie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate: (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 1�7 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other R i ns needed to issue the permit (May require additional plan review upon receipt of the following items.) ❑ V4. anitation and site plan approval from the Environmental Health Department in ❑ Chico I�ville, as applicableg � �'o ire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by , ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ Erosion Control Plan Required........................................................................ 1 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ..❑ 21. Site plan and business license approval from the City of Biggs.....................V 22. California Department of Forestry,pvIan approval 8a`Id. Sent by: -T.23. Planning approval for (A) Use: �(B) Parking: (C) Parcel Check:... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... NPDESForm....................................................................... . ......... Encroachment Permit for driveway from the Public Works Dept........ . o Contractor's license. information. (Number, Name Style, Classification) ................... Y ❑ 29. Worker's Compensation Carrier and Policy Number ......................:................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits............. .............. ......................... ❑ ADRestriction.. .❑ial a 'ptio A Title, ftle earch, r gistration CO .................. r TOr , ❑ 37. Other. When issued T hold for pickup. I have been in e f e ve items and requirements for obtaining a building permit. Applicant: Meb V'�( Date: � �-°� 1. Index permit a pl' ation for the above items numbered: / Z. Plan Check etter 2. Additional iters required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, 11 counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, wa advised of the above da)a by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by Date: t-oO Plans approved by: fy�—Date: L� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: A -.n---' Date: oz/ Yellow: Building Division S E.H. SE N Y r Plot Plan Attedied Floor Plan Atfa&ed Sent to BD/DS I TO: Building Division — Development Services�� FROM: Environmental Health S JECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal. )Nater Supply: Public Clearance for dwelling. Other�QI�t �� »-tea o t2 f 1, -- Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 912005 M U `�`� Date BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Nurnbet. (s) /� U� Building Pen -nit Number ao Property Owner (s) Project Location /Address 1 tYJ 1 q 1M -L y-\ 7_ Subdivision Name Assessable Sq. ge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s)Xon-Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) Comments: 0 Building Dep ent r entative Date ❑ FRRPD 0 CARD D PRPD ❑ DRPD certifies that: verified by �uilding Department Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Remarks: Paid by Check No: Dwelling Units @ $ per unit for a total of $ _ Square Feet @ $ per sq foot for a total of $ Paid by Cash: im Receipt No: T—1 y—(r1,,0 School District I'MaMil,77M Property Owner ,tyyt� BUTTE COUNTY SCHOOLS IMPACT•••! FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: City County qz0y1q� �ZA Property Location/Address `�6 l.� YrJ Uva Y_sz� 'v Subdivision Lot No. Residential Development Q . No of Living Mobil Home Units Installation Commercial/Industrial ' 0 Building Department Representative . Gr7Q• GG 9 Q'•. Sq. Footage Addition/ 'Supplemental to (Group. R) Conversion Permit # *(No foundation inspection) ► t '� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Q Sq. Footage Addition (Including Exterior Roofed Areas) �-o • I t� v Date t District Identification No.0 7 4 0 2 Dr-ovdu Q hi p n t'Cl'�i1School District certifies that RorV,.kJ F Lk the r— (Applicant) 0 Arra r ur . �.1� S J a -j a (Street Address) (Phone Number) o�r� fur C (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing " 47I square feet. District I u S'"w by payment of $ • r 2926 LL MITIGATION $ Date Paid by Check"# Remarks: EX C y). p T NotYa: You may protest the Imposition of the lees Identified above by submitting a written proiest.to the District, in conVilena with GovemnwM Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing MIs Bulb County Schools Impact Fee C* Madon Form, the School District is notified by the applicable Local Planning Agency Met this project is being MvW&od under the CoWanis Environmental Quality Act (CEsdN. this project may be subject to additional school teas to 4dty rnid b Its lmped an the school dbitrlet's schools. White (school district), Yellow (building department), Pink (applicant). feefonnift (3M5Wmn . A , r¢.'i 'SENT �vTT��\\ ®e artment of Public Works o Y. ; ��, C o u m y o f B u t t e LAND DEVELOPMENT DIVISION � ,1 0 0 �� J. Michael Crump, Storm Water Management Program � �y /�' Director 7 County Center Drive (f 14 Oroville, CA 95965 A�QUC W0 45 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I' am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre mor f land may result in revocation of grading and/or other permits or other sanctions provided b la . 771 Signed: Title: 't az- Ss/ o Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Butte County DepartmentofDevelop nentSelTices °�uTrF0 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone ._- (530) 538-7785 Facsimile JBUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately.. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or re uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: APN: ogg8 ay - 633AArlicant Name: 'T"`.) // Building site address: /� �� �''� ��� Permit No.: � 0 - (�r� I have re pderstood and accept the terms and conditions as expressed herein as indicated by my s issi o the above -referenced building permit application and my signature below: /t, le,L SI NATURE OF APPLICANT DAA 7 TMENr OA- 03TTDepartment ®f• Public ®.� � 0 o a C o u n t y o f B u t t e 0 7 County Center Drive G OrovWe, CA 95965 y0 J. Michael Crump, Director (530)538-7681 O i ml( (FAX) 538-7171 I 5 �'8ric woF� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 02�-3SCi'O� 3 Building permit # Owners Name: Owners Mailing Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road Existing driveway conforms to County S-31 standard FJ [] Other Approved by Printed Name Title --AdX Date l (D CONDITIONS FORE 1EMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. @8115120@R 23'38 520-751-2741 AMERICAN MFG HOMES PAGE 01/01 To: Butte County Attn: Tammy Powell Fax # 530-538-2140 Re: `Customer Ron -Belcher 180 Damron Road Bangor, Ca. 95914 This letter is to show intent Of moving existing dwelling- -away 150 feet from new home site and using foriT torage. anks ion -e.'Icher la, on- ` c r Butte County Building Division MANUFACTURED HOME SUPPORT DATA r Owner's name:A. P.# Home Manufacturer: o Manufacture Year: Model Number / Name: - r-zASa z L,, - Width: / 3. 4 7 (ft.) Length: .5-&' (ft.) FOOTINGS: Wood - pressure treated or foundation grade[ ] Other j ,? Ms SUPPORTS: Concrete block W Other:[ ] Provide. manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE_ WIDE' MULTI -WIDE Line1 ��------------------------------------------------------------ Line 1 Line 2 �� section 1 Line 2 Line1 ------------------------------------- ----------- Line 3 Section 2 Section 3 Line 2 Line 4 (triple wide only) Line 2 Line 1 Piers: Snow Load: s#� Minimum size piers: [ ] X [ ] Snow Loa ents may be obtained at Spacing maximum: http:// upstate-ca-com/butte/but _county/ From ends maximum: Insert AP #, view snow load in lower right corner. Line 2 Piers: Minimum size piers: 'Spacing maximum: From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued) Line 1 Openings:, [ Zd ] X [ 24 ] Minimum size pier: X [ 24 ] Required at each side of openings oven ,R 0 Z/1 wide. "; r - APPROVED ' s 3e -e 1/6 PANEL Box 76 -II 1/B 341/Q- m OA6 INLET N6ree uEwT1 DOOR n F-1 r1 UBNACE DUCT 74-8 • OXATTLET 1/1 A -UNIT e[E TAU.ATION ]e -II 1/8 Fr W TEA INLf L E G E N D ❑STANDING F001 TNG IES. I. THIS DRAWINQ IS 70 BE USED IN CONJUNC- TION WI 10 THE INS- TALLATION MANUAL APD ITS SUPPI-EMEN15. 1. FOOTINGS ARE SOWN FOR EYAMPLE ONLY. AN111Y ANO SPACIN, MAY VARY BASED ON PA TYPE. SOIL CONDITIONS. ETC. L❑ -- -- — _ �— _ —_-- _ _ _ --- JAL ----_ _—El— --------❑ J 38 VA-. DOOR m la -n a• ur-a WOODLAND 17-1 PAOOUCT ANLf EXPRESSION MODEL NO 2482K OAAWIIL 111tt F !1PIEfl LAYOUT t- ' NG p�► � �$ j � �i � 30r RODE LOAD IMPROVE® wAAYIIeT: JOSE M. rE: 04/14/04 BO CHASSIS INFO 6P,E.1 M.R. SPACING 00 1/7' �. t. PEV A IBE. AM SIZE B' ALL /� SHEAR WALL DAIA INFO,' RAFTER CODE ICATHI F-SI3I6AOI710 NO ZONE I 74" CEILING 1141CANESS LABEL UN.I WALL PANf1 ITP( LENGIH IIO1E 1RIe •. A A I ISL F _ +'•0' ) 7e p. sl PAP 71'"+" WIND LONE: I OF 15 1 ISG E 36' •0' ) •• 76 p. it PAP 111-619 ANGLE 0 A I 71G 6 6'-6 L JO 1616 i_2 LAGB +6'•/ 1/+' C A I ISG E JOIST SIZE 50' ] 7e p. 61PAP ' I)'•+" It, I.OIf FIELD AEOUIPfe AGGPES61VE FASTENING P.r tf AN JOIST SPACING • EMPIT TRIB FIELD IS COM6IHED IN NUMBER ABOVE orT WALK -A -DAY (FRONT) SHEAR WALL DASA WINO ZONE' 1 011,11 LABEL UNIT WALL PANEL ITPE LENGTH I NOTE TATA I A A 1 1SG E 1'-)' +.! 76 !1AAP IS'•1•I/7" A A 7 GG E ]'-0' 1.5 76 11.51 A A I 7 I S 6'•6" 7 JOIfl1 A,3 LAG! 16'-1 I/•" C A I IIG E 6.0' 7 • 76 • 915.9 1]'-1' IN NOTE FIELD PEOUIREf AGGRESSIVE FASTENING PATTERN • EMPTY TAIP FIELD 16 CON 61NfD IN NUM6EA A60V LK-A- orT DOUOLE ENTRY DOOA:D TO DEN $HEAR WALL DATA WINO ZONE: I OP1E LABEL UNIT WALL PANEL 1TFE LENGTH NOTE 7816 " A A 1. It F •'-0" ] 76 • SIAAF 11'-•' A 1 /' 7 lAA1 A 7 f li ) L a a- I/�• C A 1 11 E S.- IN NOTE FIELD At' IAESSGGAES!1v FA67E VINO FAT AN • EMPTT TRIS FIELD 11 COMBINED 1N NUMBFA ABOVE 4 1111IMam I Of OrT rORCH INFO,' RAFTER CODE ICATHI F-SI3I6AOI710 AAFTEA SPACING 74" CEILING 1141CANESS - — -- CHASSIS INFO u A. SPACING 11 I/7- — IHEAP WALL DATA 1-SEAMSIZE e' WIND LONE: I OF 15 OPAWOAP LENGIH 36' IAOfL UN17 WALL PANEL "PE Lf NGiH NOIf 1910 A ] ISG f J'-0' J 10 . S1AAP 15 -11' 111-619 ANGLE 60 A • ISG E J'O' J 7e • SIPAP B 1 750 S p'"6' 7 JOISTS L 7 LAGS +5 -I 1/+' E FL. OON INFO I ISG E 5''O' ] . 70 g. SIAAP 13'-+' JOIST SIZE '- 7.6 1N NOTE FIELD AEOUTAES AGGPESSIvf FASTENING FAIIEPN JOIST uAtf PIAL SPF • EIAPTr TP10 FIElO 15 COMOINf0 IN NUNeEA ADOVf JOIST SPACING 16 APPROVED PFS Corporation Madison WI - 4 1/28/04 HUD Manufactured Home Construction S Safety Standard 1 olvislu� APO-g0l111=r) irqoo Digitally signed by Michael A Frey Date: 2004.01.28 11:49:28 -06'00' WALL I "F O 6TDEWALL HGT. 60' EST WALL SIZE 7.+ EXT SID%NG MAIL /0 lP SMAR1 1 CEILINGiMOOF INFO,' RAFTER CODE ICATHI F-SI3I6AOI710 AAFTEA SPACING 74" CEILING 1141CANESS 1/7• CEILING MATt AIAL US GTF FRONT EAVE O'MANO 0 REAR EAVE O'HANG 0 FRONT GABLE O'r10 17' REAR GABLE O'HO 0 1 ifth. WOODLAND 17 - PWOIICI TNI( EXPRESSION ILCEI b 2482K DAAr6C TITLE SPEC DRAG DRAMI OT. JOSE M. OVI2104 911 AE V SPE C.1 ��FLEETI 000.. Expression Series Model 2482K 2 Bedrooms • 1 Bath -'639 Square Feet � kr�'$'�.'"s. `"�.,. ��`� C5"'4 .� _ �,��. :.,�.,y,r ,-���i+r �. �c '� �_. _il � ti� ,w '.,.�:. ," "-�' s. ;ti•. � '9. �;j�r < '��t �.: n yyt: jjV, rpm APPI , � OPT. 4ALK-IN-0AY Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. EX/17/JUN04 rr California Department of Forestry and Fire Protection Butte County Fire Department i Fire Safe Requirements Permit# 06 - S SG l Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided. , 1273.10 Driveways [X] (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [XJ (b) All driveways shall provide a minimum 10 foot traff c lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the . midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface [X] The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadwav Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet iadius; 2 feet to those from 100-200 feet. q [3I (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the —17' shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts [XI Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 c IC F Is E Q U 1 1273.07 Roadwav Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550; 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [X] (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. [X] (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09 Size of Letters. Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation. Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements fisted on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 y Same Practical Effect for Buildings less then 30 feet from vroverty line: [ ] If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; • Class A roof • Fully enclosed eaves on entire structure • Fire rated metal doors on side toward property line with insufficient setback • Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X] Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements- Installation of Residential Fire Sprinklers [X] If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. JUL 0 6.2006 Date Revised 02/28/06 3 Darren Read Fire Protection Planning N W 1 W Q 3 2"x 2"x 3/.167 STEEL ANGLE -� CHASSIS FRAWF.- m N N 1 N I m m S/8" CAO PLATED BOLT, NUT & WASHER COACH "C' FHAML COUNIER BORLO EI I1SH WITH BOTTOM _ Ai a" A.C. (6) R[Qtiini_[, 2 CHANNEL / t/4" STAND BASE t/4"x1-t/4 ICN STS ABiSC0 A8S PAO #503 (2) REQUIRED' s 1/4` GRIPPER - BASE DETAFL "A" 1/2" A307 BOLT- ` (2) REQUIRED STEEL PLATE 1/2" A307 BOLT— I I (2) REQUIRED _._......__1/4" GRIPPER PLATE (2) REQUIRED 1/4". GRIPPER BASE 1/2-13UNC-A307 BOLT WTTH NUTS (d) REOUIRLD- Al 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 Q STEEL FRAId[ SEE DETAIL rrA" 9 ►� /WN TO BOTTOM II OF PAD F o 0 C.R. 10.00 01/2"x 3" LOCK PIN WITH g;1/8., BRIDGE C e PIN 09/16 HOLE (TYP) e� r' STAND BASE TOP VIEW L9 - wLDAAk,; TUF- t PERMANENT FOUNDATION .SYSTEM M* 51 FLORIN - PF9'=NS ROAD ' li' ►pa ,� ? i� • '� t;..!:RAMf'Trl'n (�.. -,h71 i' (800) 38i. f f/4" GRIPPER PLATE COACH "J" TRADE iiq..a i—i/4" ,! fEK $IS (4) REOUIRED 1/4" GRIPPER BASE .1 1/2" ASO? BOLT (4)REQUIRED C—BEAM J -BEAM ATTACHMENT ATTACHMENT S"�MOLE(8) PLACES 30" --Ij STEEL FRAME TOP VIEW STATE APPROVAL MM U FAC -M RED NOMEOMOBILS HOA'18 FOUNDATIUN SYSTEM HEALTH AND SAFETY COUI> SECTION 18511 APPROVED SUDIECT TO CORRACTIONSNOTED API'1{nvAl HOFS NOT AVTHORIZEIR AFPROVP AW4 OMISSIONS OK ncvmTI(1N FROM RFQUTAISMETTI'S nP APPLICARI.6 STATELAWS ANn RFCI)LATIONS SI3K of Califnmie Dcpatl mcat of I lousing and CommonitT Dcvdol+mtzt VISI OFl n9FS ANDSTANDA10S 1 / m, GENERA_NOTES GUS GUARD TUF- t [. llESIQ N liOA 7�5 LIVE LOAD - 30 LB. 16. FOUND&IION BLOCKS 16"x 16':12' POURED IN PLACE AT GROUND V;l WAY UI! fV FLOOR t1VE LOAD , - d0 PSF BE VIED At INSTALLERS DISCRETION ALIERNAIIYE 10 PADS. a 6- WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "A" *SNOW -LOAD 100 PSF (SEE NOTE #15) SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2.. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON C= 2' MIN. / 9' MAX, E= 2' MIN. / I V MAX. A FAIRLY LEVEL SITE WITH ►40 EX[STING SOIL PROBLEMS. S= 6• MN. /16' MAX. S= 6' MIN. / 22' MAX. 3. CHASSIS SEAM SUPPORTS SHALL BE LOCATED AND STIED FOR TIE LOADS AS SHOWN IN THE 'WOBILE HOME INSTALLATION INSTRUCTIONS". VARIES 10'-70' (SEE TABLE ON SHEET $3) ----+i 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR, " E — S ---- S S — C —_—MANIROi E FrACC-B£-HEI[II7USTED-WREiT-p LAILEEDS— OR -WHEN IT WILL ADVTRSELY AFFECT MOBILE HOME UNIT. I I I t ❑ Q i w� 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FooliNG5 RIDGE BEAM SUPPORT AS L f ARE DESIGNED FOR 1,000 PSF. TOTAL LOAD SOIL PRCSSURE, AND REOUIREO BY MANUFACTURER O SHALL BE -COMPATIBLE- WITH tOCAL SQIL CONDITIONS. COLIPACTED SAND (TYPICAL) r - _ MAY BE 11SE0 TO FILL LOCAL V01 lL; 6. S CTUR L ST E FABRICATED ACCORDING TO AISC SPECIFICATION. o 0 0 - WELD ACCORDING TO AWS SPECIFICA7IONS. ELECTRODES -370 PLATES -ASTM Z; A36 BOLT5-SAE GR 5=ASILI A449=ASTTJ A3125. 6' NOM. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THtS PAGE SHALL BE USTED AND w11LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: 2' IOM. -a, Q. ,ALLOITA13LLE LDADS: HORIZONTAL VERTICAL PADS IN ANY PAIR WAY BE STANDARD M.N. FOUNDATION' GUS GUARD 7UF-1 2200 6000 ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES B OFFSET TO OTHER SIDE To THE WANUFACTURER OR THE SUPPORT GUS GUAR6 *MGP PAD 2200# 6(300# AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) GUS GUARD E -Z TIE PAD 2200# 60001 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAI MOINL£ HOME CHASSIS BEAMS ARE OF STANDARD SECTION,<,ru D 9. EXISTING GOOGLIES MAY BE RCTROFTTTED TO RESIST SEISMIC FORCES BY STATE APPROVAL INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON 1HTS PACE Of TYPICAL :'r`�.y ��A., � Al AN s ,� s FOUNDATION PEAKS. i �.::'•� .•.�� �• vJ)t+>`'4AT101`` SYCT1b1 U0. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION 111 FLOOD •' " 11!-nt.Til AND �AtT•.TY Cf)nE, (ECTION 18551 r PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT _ ; nrrR(IVru Ni OF THREE FEET. JUHJECT TO CORRECTIONS NOTED U 1, MUMPLE UNIT. INSTALLATION 15 ACCEPTABLE PROVIDED tib' m THE NUMBER OF TUF-3 UNITS UNDER EACH UNIT IS " '� `; , THE SALE AS SHOWN REQUIRED PER EACH UNIT. _ _ _ _ �rrROV/1L OR OF IATIONor H ROM OR APPRIIVT:ANY OmISSlf)NS OR OF.VIATIO'N FROM REQUIREMENTS OF 112. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET i3•) ' AT T t.I(:ADLC STATE LAYS AND REGULATIONS m T3. ALt METAL COMPONENTS AND AIIACHMEWS ITEWS SHALL B[ PROTECTIVE COALED. suit, ofCalifornta r'7� �dl'�G:✓ nt1mneem of Housing and Communlry Deeckr-001 Sd. WHEN CONCRETE SLAB IS IN EXISTANCC, PAD IS NOT m' REQUIRED. .ANCt10R S1AND TO COKCRETE SLAB WITH TUF-1 PERMANENT LVISI OOECOnDESANDSTATTDARn3 �7 FOUR (4) 1/2"X 3 1/2" LXPANSION ANCHORS. FOUNDATION SYSTEM RY =�+� —�"� `DATE L,h m] T5. GUS GUARD TUF-I FOUNDATION SYST[M PROVIOES - //1� sr8nature) m. ALLOWABLE SNOW LOAD TO 100 PSI WiTEN INSTALLED '- L- -W _ m�� WITH EXISTING STANDARDS REOU!r'D BY COACH SBSIRt.f?RF'. T"'RT�NSROAD (ri=rJutAreaob�lB.prw t? 1! 1 `� _ .SAxUfA `TURER OR. REPLACE 1.'::.. , A OHI: TO SACRA_(.:iN` i I_:A 9582 �� - 1 •.. A:SS. PH: Fax 520; WAYi. r,� �r� r}n �� L�$T1►I{:..r..ln a���c- ., ? of 3 iwe . 1/4' GRIPPER PLATE (2) R£OUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4'• BOLT W"m NUTS (4) REQUIRED $1 142- BCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/81 THICK TOP PLATE 02' SCM 40 PIPE STAKO WITH TWO /it/1' ADJUSTEiR 14OLES ARESCO ABS PAC 0503 STEEL FRAME 18 1 L.. . _,..__....... -. 0 TO BOTTOM OF PAD LEN HOME 18 OF HOME k 1811 X 11/18' STEEL RODS W/ 3/16' HOLES m 1/2-■ 3 1 /2' 1 /4'■ 8' LONG O 1 1/2- C.C_ HOLES ARE OMET W 12 1 EIIPANSION ANCHOR AKCNOR BOLT 3/8' CAD PLATED BOLT, NUT &WASHER Q (4) REQUIRED (4) REQUIRED COUNIM BORED FLUSH WITH 907TOW . ,,t. ,• AT 6' O.C. (s) REQUIRED \ Onurorrr DAD !NSTAL LAVON " POURED IN PLACE 16x16x12 CONCRETE FOUNOATION INSTALLATION 64ASSIS FRAME _-- Ln LIGHT kAY'f WEIGNT PLASTIC PAD INSTALLATION 1/4' GRIPPER PLATE (2) R£OUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4'• BOLT W"m NUTS (4) REQUIRED $1 142- BCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/81 THICK TOP PLATE 02' SCM 40 PIPE STAKO WITH TWO /it/1' ADJUSTEiR 14OLES ARESCO ABS PAC 0503 STEEL FRAME 18 1 L.. . _,..__....... -. 0 TO BOTTOM OF PAD LEN HOME 18 OF HOME k UP TO 8 8 12 4<'-1' b da' 12 12 12 1 aa' -1' to al► 28 20 a 24 [I�GTH Qi . WI 10 I t8 44 B I. a 8 8 . 01/2% 3' C.R. 44-1 b !0 0 8 0 LOCK PIN Wi71S 40'-1• to 10 10 t0 01/81 9RIDQE NUMBER OF TUF-1 REQUIRED NUMUR OF TW -1 REQUIRED jam\ FIN xm SLIME MIRE UNITS WAUIRE (4) E -Z TEC PADS. OUS QUALM 1Vr-1 PIERS ARE TO BE PLACED AT APPROMMATELY EQUAL WTERVALS ALANO EACH FRAME RAIL r 10 ego° STATE AP P RUVAL_ 1 / .4 MANUTACTIlAR11110Mt A(0T11LR HOME FOUNT)AT10N SYSTEM I99ALTU ANL) aAm'y c0u6. 512=0H 183%1 r :w APPROV1115 EXV / * 37' TUF-1 PERMANENT FQUNDATION SYSTEM A81:SC0 •. 58'�r FLORIN—PERKIWi ROAD Sx ' AMENT0. CA P5823 !t. n Fa i�1s'i 383 '.)7 8X%m1T 1Y1 GORRl1CTirsm 110•ft(D APTRMIAI: Otlf!t NOT AOTH0417.11. {)R APTROVP. A4, Y 0).t1S$1owt(1R IthVIAT1ON1;R(41 RRQUIRTIM FNTS OF AN'I.ICANLI ttXt?t:AN`t.t)4l)gE(1t1LATI0N8 Sale Af l`olifl'ieto o"wrm-ml of lleuring and C-mmmiily Devolopmeet t vstn ftr (!()p ANT) SrANnAR SI %j� I'' !�(■ilmMn��i .SPA L f E—L15 W/ 2X6 SIDEWALLS BEDROOM 1 ... - 90.4 sqf s 3 ,TD sscet �.. FAN X a l - 1 1 an ' HiAT TA..:S:Efi �. 7•-1^ W/ 2X6 SIDEWALLS A U3 __ -3 _/1" NOTES: 1. RECEPT SHALL NOT BE INSTALLED WITHIN 30" OF TUB/SHOWER SPACE, 2. ELECTRICAL WALL PLATES SHALL NOT BE INSTALLED WITHIN 6". OF A RANGE OR COOKTOP. 4. FOR PLUMBING c HEATING SYSTEM NOT PROVIDED, REFER BACK TO STANDARD APPROVAL SET. 5. THE MAXIMUM TRAVEL DISTANCE ?ROM ANY BEDROOM DOORWAY TO AN ENTRY DOOR IS 10.4 LF. 7. OVERALL DIMENSIONS SHOWN ARE FOR 2X5 ZX ERIOR WALLS. 'CHIS FLOOR PLAN AND ATTASHEU OPTION DETAILS 1IF APPLICABI.F..1 IS DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: WIND ZONE(S) 1 ROOF LOAD(S) 30 LBS. iRET HALL T 7 LI:m+ 6Pl - n t a� 1 BATH 1 YI38aHS 1' — -' ' Q Sw7TCH UTY:'!E7M:STAT N m SMOKE A'LAP,V CD LIGHT PI6TUP LD ]1'-9 1/4" - 14'-11 3/4'' JE UORESCENT L1GH .j LO W/ 2X6 SIDEWALLS "- RECESSED - 12' {(')} LIGHT GET .. _ OPT. .'.I1t.L] OPT. OPT. :. .. ... .. ... EXHAUST. :AHL... .. _ W „ I OPT. ._ .. .. ... ... -V ... ... .. .... . _.. .. .. . ._. .. ..., :PANEL BOX Cn CD : s !llrrr Cn UTILITY - - .. ....._ _ .. 0 SOLAR TUBE' ... ... ...N (TI } OPT 3HLL:/O'HD - r ' SA SUPPLY A L '�'^ \ ` ! r 14 -RETURN FAN N 01 VIllov- ''". LIVING ROOM AIR,197.5 sqf GFI ! KITCHENa RETURN'AIA .. 1 , = RAG . R.-,... .. n ® OVERHEAD -' StD LIGHT i = REGISTER z?r. -.mI- Z' a FLOOR. REGISTER T 1 D LIGHT O a'1 ®. WALL -MOUNTED.. . REGISTER - - BEDROOM 2..� CROSS-OVER 64.6 sqf _ 0 � LOCATION (X _,!SUPPORT POST 'Biii?ii V1b595d i'1zii3B `Rs'' - u 13c±)aJ �/ �' SIIEARWALL a;w ®. 169 z.56'-4" m 10'-9". 15'-11 3/4" 14-8 3/4- ® 'x ' W/ 2X6 SIDEWALLS O.._<.: O W/ 2X6 SIDEWALLS - O U U �`. o `F1E�7i�b�OlD o r r. WOODLAND ' d eaoovcL.nAji<? .. .... .: ..... .. n L.SiONr- '......._:. D APO gn E1a ��#13 ® 2482K Conforms to,•UUD, HCSS "1 DRIIYTHG TITLE CUSTOM ,j FLOOR PLAN THIS APPROVAL EXPIRES 190 DAYS FROM DA.PIA APPROVAL DRAWN •eT: D STAMPED DATE. AIVAR K. m DATE;m .. CUSTOMER: BELCHER SHT RST (9 1--s PERIMETER PIERLNG REQUIRED WHEN ROOF LIVE LOAD > 20 psf ORDER NO � 025933 Fp.ic ...... CD _—____ 171EX2462K025933 H6i 90TES: 1. RECEPT SHALL NOT BE INSTALLED WITHIN 30" OF TUB/SHOWER SPACE. 2. ELECTRICAL WALL PLATES SHALL NOT BE INSTALLED WITHIN 6" OF A P-MGE OR COOKTOP. 4. FOR PLUMBING s HEATING SYSTEM NOT PROVIDED, REFER BACK TO STANDARD APPROVAL SET. 5. THE MAXIMUM TRAVEL DISTANCE FROM ANY BEDROOM DOORWAY TO AN ENTRY DOOR 15 iO.4 LF. I. OVERALL DIMENSIONS SHOWN ARE FOR 2X6 EXTERIOR WALLS. 'IIS FLOOR PLAN AND ATTA4HEU OPTION DETAILS (IF APPLICABLE) S DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: [NO ZONF.(S} 1 PROF LOAD(S)w_ 30 LBS, HALL T 2� LIN C BATH 1 OLR. )•43DaRs 5'-2 3/4" $Sidi TCH T T:!ERMOSTAT r N Ll m SMOKE ALAP.r..,, :' . I LIGHTyFIXTURZ LD 31-9 1/4" t 14'-11 3/4^� _ lFLUORESCENTLIGHT - - l0 - W/ 2X6 SIOE47ALLS - It`�'�()} RECESSED" 12` .�i Y LIGHT InRT , , - l'3=5i£K OPT. 7;G3i'H3 OPT.OPT. pPT. _ - . ®EXHAVST,_FAlI ,- 01 ��, _ -�'PAt!EL BDX _I . . t a � m . UTILITY i = _ - - - ---�- _ O SOLAR TUBE- . _. _..... . - _ N Orl t OPT Sf! Li/0'HD '� - O A[R a) -_ - J - rA - O SUPPLY A 1 uw! �• j4 7°" ! LIVING ROOM 1 ;r 14^RETURN FAN (HT1 197.5 sqf GF[ l z ; KITCHEN O _ S Al RETURN AIR 'r"s tt RAG ^ _ . . ® OVERHEAD To LIGHT a REGISTER D?i.t m n YD LTGsr Z U fLOOP. REGISTER O a ® HALL -MOUNTED REGISTER BEDROOM 2 CROSS-OVER 64.6 sqf LOCATION ,)SUPPORT POST- ' n3i3SH Y36i9 9 P;3J3SH Lna' Yt.;jjjj Q SHEARWALL u?itt ® 164 z 56'-4^ � m 19-8 3/4" ® N m -'I 56'-9• W/ 2X6 SIDEWALLSN. . O W/ 2X6 SIDEWALLS n A O '/n NIP -0 ENNIENTAL HEALT H _ WOODLAND z PAODUCf .I:A.V2 AUG 16-}06 - _. .._L -...-.'EXPRESSION -,. .,_ D _ 7 COUNTY CENTER DRIVE Q; APp:�! ),,,/arD* #13 f 2 4 B 2 K But, C-for to Er:l r� , , 1 HUD �IMCS$ I OAAW71G TITLE 'ealt ��• tnMc1 �ppn,J+N D�It CUSTOM ���+� I FLOOR PLAN THIS APPROVA PIR 90 S OM DAPIA APPROVAL DAAHN,BY: D STP4PED DATE. ,;� } AIVAR K. a,L r e DATE: D9/Dc/Do m CliSTOi�iER: BELCHER �SHT RSV - m ORDER N0:-_0.2.5-933-�_..........-.-_.___._ CD PERIMETER PIERING REQUIRED WHEN ROOF LIVE LOAD > 20 osf FP.lc m i71EX2482K02533s BEDROOM I 90.4 sqf h 3 STD LIGYx X N t Har TAPE 4fcuy :. "'mV E :F rLXR 2'-6 3/4" W1 2X6 SIDEWALLS UA 1 90TES: 1. RECEPT SHALL NOT BE INSTALLED WITHIN 30" OF TUB/SHOWER SPACE. 2. ELECTRICAL WALL PLATES SHALL NOT BE INSTALLED WITHIN 6" OF A P-MGE OR COOKTOP. 4. FOR PLUMBING s HEATING SYSTEM NOT PROVIDED, REFER BACK TO STANDARD APPROVAL SET. 5. THE MAXIMUM TRAVEL DISTANCE FROM ANY BEDROOM DOORWAY TO AN ENTRY DOOR 15 iO.4 LF. I. OVERALL DIMENSIONS SHOWN ARE FOR 2X6 EXTERIOR WALLS. 'IIS FLOOR PLAN AND ATTA4HEU OPTION DETAILS (IF APPLICABLE) S DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: [NO ZONF.(S} 1 PROF LOAD(S)w_ 30 LBS, HALL T 2� LIN C BATH 1 OLR. )•43DaRs 5'-2 3/4" $Sidi TCH T T:!ERMOSTAT r N Ll m SMOKE ALAP.r..,, :' . I LIGHTyFIXTURZ LD 31-9 1/4" t 14'-11 3/4^� _ lFLUORESCENTLIGHT - - l0 - W/ 2X6 SIOE47ALLS - It`�'�()} RECESSED" 12` .�i Y LIGHT InRT , , - l'3=5i£K OPT. 7;G3i'H3 OPT.OPT. pPT. _ - . ®EXHAVST,_FAlI ,- 01 ��, _ -�'PAt!EL BDX _I . . t a � m . UTILITY i = _ - - - ---�- _ O SOLAR TUBE- . _. _..... . - _ N Orl t OPT Sf! Li/0'HD '� - O A[R a) -_ - J - rA - O SUPPLY A 1 uw! �• j4 7°" ! LIVING ROOM 1 ;r 14^RETURN FAN (HT1 197.5 sqf GF[ l z ; KITCHEN O _ S Al RETURN AIR 'r"s tt RAG ^ _ . . ® OVERHEAD To LIGHT a REGISTER D?i.t m n YD LTGsr Z U fLOOP. REGISTER O a ® HALL -MOUNTED REGISTER BEDROOM 2 CROSS-OVER 64.6 sqf LOCATION ,)SUPPORT POST- ' n3i3SH Y36i9 9 P;3J3SH Lna' Yt.;jjjj Q SHEARWALL u?itt ® 164 z 56'-4^ � m 19-8 3/4" ® N m -'I 56'-9• W/ 2X6 SIDEWALLSN. . O W/ 2X6 SIDEWALLS n A O '/n NIP -0 ENNIENTAL HEALT H _ WOODLAND z PAODUCf .I:A.V2 AUG 16-}06 - _. .._L -...-.'EXPRESSION -,. .,_ D _ 7 COUNTY CENTER DRIVE Q; APp:�! ),,,/arD* #13 f 2 4 B 2 K But, C-for to Er:l r� , , 1 HUD �IMCS$ I OAAW71G TITLE 'ealt ��• tnMc1 �ppn,J+N D�It CUSTOM ���+� I FLOOR PLAN THIS APPROVA PIR 90 S OM DAPIA APPROVAL DAAHN,BY: D STP4PED DATE. ,;� } AIVAR K. a,L r e DATE: D9/Dc/Do m CliSTOi�iER: BELCHER �SHT RSV - m ORDER N0:-_0.2.5-933-�_..........-.-_.___._ CD PERIMETER PIERING REQUIRED WHEN ROOF LIVE LOAD > 20 osf FP.lc m i71EX2482K02533s iTq I Order No. . Escrow No. 3-82682 Loan No. WHEN RECORDED MAIL TO: MR. RONALD E. BELCHER P.O. Box 3092 Yuba City, CA 95992 85-22579 q �:Gii:IrLfIr1f t'"AL R C )AL;S 1 OF 8 V T 'CotllI0hT r OALIfoA iMIA e ` AT THE AEOVEST OF MID VALLEY TITLE W. 1985 JUL 30 PH Q. 23 ELEANOR M.BECKER CLERK-RECUDER FEE. fZJ Pages c ABOVE THIS LINE FOR RECOAOER'S U MAIL TAX STATEMENTS TO: Same as ;above DOCUMENTARY TRANSFER TAX S..,.. 22 2.:..00,...-.._....-.........-....... . Computed on the consideration or value of property conveyed; OR ",... Computed on the consideration or value less liens of encumbrances Signa re f time o, 1 ,",� Slp Mtura of Oecluent r\r Ap•nt datum n n b. — Film Name AP #0028-33-0-033-0 MID VALLEY TITLE & ESCROW COMPANY GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, iqX S \ } PA/p BILL Pt 1\ a single man 0-ISO -n ow e\ a S �' I I (•• Go! ma n hereby GRANT(S) to RONALD E. BELCE1ER, an unmarried man the real property in the abwcxk Unincorporated Area County of Butte State of California, described as SEE ATTACHED Dated_ July 16,_1965 STATE OF CA`1FORNIry /' ss COUNTY OF o� �.__ IC�.,fC� I dr – belorn me, Iho undersigned, a Notary Public In And for said State, per- sonally appoered_.Br iYc� �Yt�M���_— _ ,) t � � t r i A r t X/z,,c�� BILL P. GORMAI k ! ..r�•.�i�s�.Cf.�d:s�-�.wf yr personally known to me for proved to me on the bnale of satisfactory fir r !.!?:' (! A.`'."• i' evidence) to be the person(e) wheed namo(6) ie/are subscribed to Ihu, U notr,!,r ruhac c;,u•e;;;a witWn instrument and acknowledged to ma that he/she/!hey executed / �,, �/ I• ;41 J� 1'aiA Cl hdd f;9:!1;'P the same. h Vy rn:am, uGi::; 0:1 71. I-•' Y7�0!tJ^t1 VC.r..V J V•.i0�.^. V !• J• V'.:1 WITNESS my hand and official seal. r ��,, � (Thit area for official notarial seal) Signature_ .-L_r�.c.�: 7w._.__`.GC�-:a.�__.,�_. // 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE T, STATE OF CALIFORNIA NUMBER: �. !BUSINESS. TRANSPORTATIO14 AND HOUCINn A19ENCv \� -6€PARTMENT OF HOUSING AND COMMUNRY DEVELOPMENT 8759652 DMSION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN ' ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO'NO. MANY, GTURED HOME OR MULTI -UNIT MAN_ UFAC_TURED HOUSING ' ❑ SFO (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI•tJNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS 1 L;St�kRG1AL GOAGH: OCCUPANCY GROUP MANUFACTURER NAME: FLEETWOOD HOMES MANUFACTURER LICENSE NUMBER: OF CALIFORNIA, INC. 9534 MANI.RCIM111:. SUGGESTED RETAIL PRICE: 7-1,5-4 sib .9 c. ZZI MANUFACTURER TRADE NAME: MODEL NAME ANDIOR NUMBER: DATE OF MANUFACTURE: EXPRESSION 2482R 2007 08/25/2006 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: AMERICAN MIMPACTURED NOME SALES, INC- 1075 08/25/2006 DEA R OR TRANSFEREE ADDRESS: BO ON9TOTT ROAD YMA CITY 31�te1 CA 95991 (city) SMm ZI INVENTORY CREDITOR NAME: Ge CDF INV p 00 PAI,ATTNE Street C IL 60094 te Sto) SECTION MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH VJE(GHT t� CAFL617A29723-EX13 tNCHE9 INCHES POUNDS PF80979312 676 160 20,760 \ - 1, �.. :.1 ' '\ .. ,J. .'. 1 - Q." ffv �'t' : • :_'.� 1 - TPqrj*ROCX TWUSPORT, INC. PARxwAY . .T SIAL MCDONOva$ sus! c GA '10253 DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) (City)State ZI I cenity u+der DW9� �D16/ L U D 6 len al U\e State aI CelKamte utol tM eDove taora ere we r+0 cartes. �gyu�+�yw V S l S WOODLANDEaewaed an N VOLO CA IDMe) Gib) (adel') (Slate) 51UNAfURE OF AUTHORIZED AGENT; � � r DISTRIBUTION: ORIGINAL (PINK) FORWARaTO THE INVENTORY CREDITOR. UNLESS THERE 19 NONE, THEN FORWARD TO -Tilt PURCHASER (OFALER OR TRANSFEREE), COPv' "ITS). , . . ""Aik T ' OEPBPORAq TMENTAT r`.O. 60X. a, CRAmEt�rO. G� tSEti-!oze,'wlTreF FIVC ISI AV30f 1tEllJrSG. �M''-"bBUVERTO' TER'T�+►CCOMP .. UNIT TO ITS DESTINATIOA:'.` ',I`..:,:,_:.'':�,:.: . COPY COPY a (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. " HCO 4e3,0 - Siae 1 - (7197) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 3 -Qct -2006 2006-0051863 Has not been compared rith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RONALD E. BELCHER REAL PROPERTY OWNER/LESSOR PO BOX 109 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 180 DAMRON RD INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (f also property owner, write "SAME-) SAME MAILING ADDRESS SAME 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 06-1561 (530)538-7541 U DING PERMIT N0. TELEPHONE NUMBER SIGNATURE OF LOC A ENCY OFFICIAL DATE AMERICAN MFG. HOME SALES DEALER NAME (if not a dealer sale, write "NONE-) 1075 DEALER LICENSE NO. FLEETWOOD HOMES 2006 2482K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL617A29723-EX13 56'4" x 13'8" PFS0979312 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-330-033 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Buildine Dent. 85-22519 DESCRIPTION: All Lhnl. ccrinin rf•aI properly siLuatc in the County of Butte, State of Californin, descrihed as follow,: PARCEL T: The South half of the Northwest quarter of the Southwest quarter of the Northeast quarter of Section 34, Township 18 North, Range 5 East, M.D.B. & H. PARCEL 1I: A right of way for road ;nd public utility purposes over the North 30 feet Of the East 60 fent of the North half of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34. PARrri tir. A right of way for road purposes over a strip of land 60 feet in width, lying 30 feet on ear.h side of the following described line: BEGINNING nt the Northeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northuast quarter of said Section 34; thence, South along the, East line of the 'Rest half of the Northeast quarter of Lhc Southwest quarter of the Northenst quarter of said Section 34, a distance of 660 feet to the Southeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence. West along the South line of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34, n distance of 330 feet to a point at the Northeast corner of the 5ouLhwest quarter of the. Southwest quarter of the Northeast quarter of said Section 34; thence South along the East line of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 400 feet to a point 70 feet South of the Northeast corner of the South half of the Southwest quarter or the Southwest quarter of the Northeast quarter of said Section 34 and the end of said centerline. EXCEPTING THERErROM that portion lying within the bounds of Parcel 1, Pbove. PARCEL IV: A right of way for ingress, egress and public utility purposes over that Portion of the East 30 feet of the West half of the East half of the Southwest quarter of the Southeast quarter; and Ove: that portion of the West 30 feet of the East half of the East half of the Southwest quarter of the Southeast quarter of Section 27, Township 18 North, Range 5 East, M.D.B. h H.: and over that portion of the East 30 feet of the West half of the East half or the Northwest quarter of the Northeast quarter and over that portion of the West 30 feet of the East half of the East half of the Northwest quarter of the Northeast quarter of said Section 34, ell lying Southerly of the Los Verjels Road, as said road existed on January 22, 1959. PARCEL V: A right of way for rond purposes over the North 60 feet of the Southeast quarter of the No.rLhe.ast quarter of said Section 34, and the North 60 feet of Lhe East half of the. Northeast quarter of the-ouLhwest quarter of the Northeast qunrter of said Section 34. ENC) OF DOCUMENT BUILDING PERMITS NUMBER: 06-1561 Address or location of unit: 180 DAMRON RD. BANGOR CA 95914 Legal Description of Real Property:. 028-330-033 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RONALD E. BELCHER Owner's address: PO BOX 109 BANGOR CA 95914 INSIGNIA OR HUD NUMBER: PFS0979312 SERIAL NUMBER OR V.I.N.: CAFL617A29723-EX13 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATEA PHONE: (530) 538-7541 H.C.D. 513C 85-22579 0 OESCRIP110N: All lhut. certain real property siluale in the County of Butte, State of Californin, descrihed as. follows: PARC''EL 1 : The South half of the Northwest quarter of the Southwest quarter of the Northeast quarter of Section 34, Township 18 North, Range 5 East, M.C.B. d M. PARCEL IT: A right of way for road ;;nd public utility purposes over the North 30 feet of the East 60 feet of the North half of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34. PARCEL 11I: A right of way for road purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: BEGINNING at the Northeast corner of the. West half of the Northeast quarter of the Sou Lhwest quarter of the Nor thuasL quarter of said Section 34: thence South along the, East line of the 'Rest half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34, a disLance of 660 feet to the Southeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence. West nlong the South line of the West half of the NorLheast quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 330 feet to a point at the Northeast corner of. the Soulhwe_st quarter of the. Southwest quarter of the Northeast quarter of saio Section 34; thence South along the East line of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 400 feet to a point 70 feet South of the Northeast corner of the South half of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34 and the end of said centerline. EXCEPTING THEREFROM that portion lying within the bounds of Parcel I, above. PARCEL IV: A right of way for ingress, egress and public utility purposes over that portion of the East 30 feet of the West half of the East half of the South-?st quarter of the Southeast quarter; and ove: that portion of the West 30 feet of the East half of the East half of the Southwest quarter of the Southeast quarter of Section 27, Township 18 North, Range 5 East, M.O.B. h M.; and over that portion of the East 30 feet of the West half of the East half of the Northwest quarter of the Northeast quarter and over that portion of the West 30 feet of the East half of the East half of the Northwest quarter of the Northeast quarter of said Section 34, all lying Southerly of the Los V e r j e 1 s Road, as said road existed on January 22, 1959. PARCEL V: A right of way for road purposes over the North 60 feet of the Southeast quarter of the. Northeast, quarter of said Section 34, and the North 60 feet of the East half of the Northeast quarter of the Louthwest quarter of the Northeast quarter of said Section 34. END OF UOCUNEMT . BUILDING DIVISION- DEPARTMENT IVISION-DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 January 8, 1996 Ronald E. Belcher P.O. Box 109 Bangor, CA 95914 RE: Building Code Violation A.P.#028-33-0-033 180 Damron-Road, Bangor Dear Mr: Belcher: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated February 10, 1994 notifying you that you are in violation of the BCC at the above -referenced location. As of 'this date, the following violations still exist: Failure to .obtain final inspection prior to occupancy and permit expiration for converting portion of garage to hobby shop in violation of the 1991 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy (d) Section 502 Change in Use Requires Conformance to Code The above violation shall be corrected or abated by you applying for a permit to complete the work and paying the appropriate fees. After permit issuance and field authorization to proceed, the corrections must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violations) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply -with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded *in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Letter to Ronald E. Belcher RE: Code Violation A.P. #028-33-0-033 Page 2 January 8, 1996 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, MCV•dms" Mi ael C.- ieira, C.B.O. Ma ager, Building Inspection PROOF OF SERVICE BY MAIL I . am. -over the- -age of 18 and nqt a party' to. this cause. I am a resident of and employed in the county where the mailing occured. My business address is. Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 I served the -foregoing" SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 8TH. OF JANUARY '19 qb, and addressed as follows: RONALD E. BELCHER P 0 BOX 109 BANGOR CA 95914 I declare under penalty of perjury under the laws of the State of Calififornia that the foregoing is true and correct and that this declaration was executed on 1/8/96 at Oroville California. Donna Sperling Office Assistant III Ronald E. Belcher. P.O. Box 109 Bangor, CA 95914 RE: Building Code Violation 180 Damron Road,. Bangor Dear Mr. Belcheri 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 53&7541 FAX: (916) 538-2140 February 10, 1994 A.P. #: 028-33-0-033 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: Failure to obtain final inspection prior to occupancy and permit expiration for cbnverting.portion of garage to hobby shop. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field 'inspector to proceed. This field authorization cannot be made until the existing work is inspected 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 questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Yours very truly, MCV:.dms Mic ael C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor ; - ' V COUNTY OF BUTTE 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 ` =.3, 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. :Y 7 Inspectorvm - ` RON BELCHER P.O. BOX 109 BANGOR, CA 95914 DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 1/2/97 RE: Building Permit # 96-0260 Expiration Date: 2/7/97 A.P. # 028-330-033 F A U T Y With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls -into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XX] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Ron Belcher March 7, 1995 PO Box 109 Bangor, 09 95914-0109 RE: Building Permit # 94-1033 Expiration Date:4/14/95 - A.P. # 028-330-033 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [xx] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for your prompt attention concerning this matter. Yours very truly, Michael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 Rr COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. =+ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. To iJ t� s�:� ty : yDv l 7r r t Date I `--/ % Inspector REV 10/92 property owner or res' ent to file -a change of address card with the post office; also please notify a utility companies, magazine subscription publishers, etc., and friends and family you wish to advise of your address change. This will not affect the residents who pick,.?sp their mail at the post office. Street signs and house numbers must be installed at the proper locations. County standards for mailboxes and residence identification and numbering are shown on the attached diagram. Please install your new address number promptly. There is no substitute for clear visible numbers properly installed for the convenience of residents in the community. if you have any juzatta= cvm=e*Ring thin matter, please contact 'Doug Arnold of this office at 916/ 538-7339. DA/ss Attachment cc: Assessor - Elections Chico Post Office - Pacific Bell Very truly yours, William Cheff Director of Public Works !C': Z�141 Doug rnold Address Coordinator. Weldefe- IL �5 90, A� G r7e ,,fl 7-0 ro CUI)N'(Y CENTER DRIVE - OROVILLF.. CALIFORNIA 959G5-339/ TELEPHONL: (916) 536 7541 FAX: (916) 538-2i4O March 16, 1993 Ron Belcher RE: Building Permit #92-983 (Garage to P.O. Box 109 Expiration Date 4/15/93 Shop) Bangor, CA 95914 A.P. # 028-330-033 Dear Mr. Belcher: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $15.00 filing fee). The renewal permit will extend the building permit for an additional year..from the original expiration date. Should you not renew your permit within 30 days of .the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form 'to be completed and signed by you where indicated and returned to this office together with the fee shorn. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville. office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Attachments: [J Renewal Application [Owner -Builder Information ❑ Owner -Builder Verification Yours very'truly, J.F. Glander PIanager, Building Inspection COMPLAINANT C &-Z- y ADDRESS: PHONE NUMBER: l�/�C�/�- ✓i L Lr Gam. �J �� % % % — �¢v° — Z�/�F OTHER COMMENTS: '-jaSjuawdojanaa pue-1 2661 � 9 83A 311ng 40 AN=0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT - 97-- a559 ASSESSOR PARCEL NUMBER 28-33-033; A-5 ZONING BUILDING PERMIT - OWNER � - RONALD BELCHER%9.2%Z$, TE ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 109 BANGOR, 95914 Sm3 160. 00 CONTRACTOR'S NAME . OWNER . TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS 6 a!a Fireplace Total Valuation $ 3,160.00 ARCHITECT OR ENGINEER '- UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checkln Fee $ BUILDINGADDRESS 19 XWXXXXXVXi XXR1NX Energy Plan Checking Fee $ 180 DAMRON RD., BANGOR PENALTY 2X $ 126.00 PERMIT FEE S 209.00' LOT NO. - SUBDIVISION'S NAME. PARCEL MAP PLUMBING PERMIT Filing Fee. 20.00 USEOFSTRUCTURE SF C� Duplex ❑ Mobilehome ❑ Other ' ` SPECIE/ 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 LX' fMobile Describe Work: �,�r�v1U'er�' :7t]r AGtra-. '� Y�0~��01 SI�.oP s M I- •P – .P jnU b0S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home.. S G W @20.00 PERMIT FEE $ •6 C>.A(,P0 ELECTRICAL PERMIT Filing Fee 20.00 - Main Service zoos oa mss 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. �. OWNER -BUILDER DECLARATION L 1 hereby affirm under penalty of Pe?jury that I am exempt from the Contractors License Law fovthe following reason: R 111011, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the st`cucture 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. `1 Business and Professions Code for this ,reason f �� Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 Acc. BLDS. 3.50x.SO NEW CONST. I.OUTLET MU NON•RESID. ANCLTI CUITS @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU . OUTLET OR FDCTURES aA� p 1ao Ex. Occup. OUxTLETSPPUNS RES D.OEA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PEN AT TY 2X 46.00 PERMIT FEE S $g, 00 / WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 haveland will maintain ia'certificate of consent to self -insure -for workers' compensation, as providedYfor by section 3700 of the Labor Code, for the performance of the work f6r,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 P T. Policy Number , or (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars,.($100) or less.). 9/I certify that in the performance of the work for which this permit is issued, I shall not amp oy any person7in any manner so as to become subject to workers' compens tion laws,6f California, and agree that if I should become subject to the worker ' c mpensation provisions of section 3700 of the Labor Code, I shall forthwith amply with those provisio Xate� _ Signature' to picant ❑ r Contra or ❑ Agent An OSHA permit isre ui e�for a� va iio s ova 5'0" dee and demolition or construction of structures •v r 3 soriesl hal ht. � p MECHANICAL PERMIT Filing Fee 26.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 298.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSN 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 �'�l�i� ,�`r Date � d7h / AAL PERMIT EXPIRES ON D`ete R�eceipNo`��_345� _7/J WHITE-D.D.S.-B.D. CAt3' Y•ASSE$$ %: N -I �CTOR GOLDENROD -APPLICANT 1.. 0 028-33-0-033 97=2JBE BELCHER, Ronald 180 Damron Road, Bangor (conv port garage to hobbpermit to complete/96-026 ra-V9 i • � � 'may ' r GL7-15- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��� aSSB'/ ASSESSOR PARCEL NUMBER 28-33-033 ' ZONING A-5 BUILDING PERMIT OWNER RONALD BELCHER NE TEI�EP.I/Q-2728 ((��/CC��3 SO. FT. OCC. BUILDING VALUATION EST 160.00 OWNERS MAIUNG ADDRESS PO BOX 109 BANGOR, 95914 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 3,160.00 ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1X0XNXXXXXXXDXlNXNKXXXRXDX Energy Plan Checking Fee $ 180 DAMRON RD., BANGOR PENALTY 2X $ 126.00 PERMIT FEE $ 209.00 LOT NO. S UBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other 1 q 11 Describe Work: Q_QynV AGCna=&L �t vvL 1 e i'"J PQ Ine a_s Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S �f q t�-c�a-c��o ELECTRICAL PERMIT Filing Fee 20.00 Main Service ion oRR Lss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fpf the following reason: p' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To i000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BUDS. 3.5¢FT. NON-RESID. MULCTI-OCUTCUr @7,50 rS POWER APPARATUS 8 SINGLE OUTLET IR. OUTLET OR FIXTURES zo @ 1.0o Ex. Occu BAL o .50 Ex. Occup. D ELETs gEES,6.) Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.001 23,00 PENAIXY 9N46.00 PERMIT FEE $ 89.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those provisions. X� Date �2 Signe ire of A licant - 0. Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 298.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD 5S 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. // 2 y By / Date l PERMIT EXPIRES ON /Z Bre ReceiptNo. 231355 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1'. I personally plan to provide the dor labor and materials for construction of the proposed property impr ement :YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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: Z /O' - 3 g 2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must becompleted and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O B.-1, An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification's 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. 4icly, ice_ l C. Vi ira,C.B.O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER PERMIT NO. PERMIT EXPIRES ; OWNER RON BELCHER i CONTR.. OWNER y` ASSESSOR PARCEL 28-33-33 i ' LOCATION S/S Los Verjeles Rd., on Damron Rd., L app 3/4 mi off Los Verjeles, Oro .. 0 ' y 4 s t.# OFFICE COPY Address 1 Temp. Power Pole,...% ? r Called PG&EI^GAS r MetELECTRIC Date_— S Temp. Elec. Service; Meter By } PERMIT NO. PERMIT EXPIRES ; OWNER RON BELCHER i CONTR.. OWNER y` ASSESSOR PARCEL 28-33-33 i ' LOCATION S/S Los Verjeles Rd., on Damron Rd., L app 3/4 mi off Los Verjeles, Oro .. 0 ' y 4 s t.# OFFICE COPY Address Temp. Power Pole,...% 4– Called PG&EI^GAS r MetELECTRIC Date_— Temp. Elec. Service; Meter By Dater'By- Called PG&E Temp. Gas Service Called PG&E r: JOB FINALED (Dli ate) Signature t - t i J =OK ' 0 = Nqt Or_, — = Not Applicable MOBILTHOMES * = Not Ready j MISCELLANEOUS r Date MOBIL HOME UTILITIES (Pla{ns) OK except N's Zoning Requirements—Setbacks—Easements,, Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements y� -b oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 4-3 a sew ; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Locatio —ment Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing j� 5!ttricity; Lo ion learances—Grnd.—_/2Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures -A a ocatio T rap:/' /"L"ft./ P'Nat.or/. /"L"ft./ LPG 6. Carports; Windows—Doors r Utility Clearance 7. Elec. Card -BI C,0 Dat j - and -BI Date Card -BI Date Card -BI Date Card -BI Date _-'- Card -BI Date Card -BI Date Card -BI Date Date \4JOVtfEHOME INSTALLATION (PIans\jOK except #'df Date POOLS (Plans) OK except k's _Zefing Requirements—Setbacks—Easements 1, Setbacks—Easements F of rigs; Size—Spacing—Marria Line 2. Soils; Compaction—Structure Stability s; MH Test—Demand—val —Con ctor 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining . E tricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5 r ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI r; MH Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Ga and Electricity Tagged } 8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit !t.3' ; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Dat Card -BI Date Card -BI Date Card -BI Date Card B -I p Dat Card -BI Date Card -BI Date Card -BI Date F I J = OK 0 = Not OK = Not Applicable SIE = Note Ready y RESIDENTIAL (Single ona Duplex) - ' Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco fAesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace- Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Ele^. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Ra Is &Deck Construction -Post Caps -n. 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fd Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No Service -Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive El Yes ❑ No; Walks El [I No: Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except p's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or,loc Owner's name Owner's address P. 0 1 Q 9 -Rc�/� Q 0 Insignia or hud number_ j) O ,5 7 T P U _ Manufacturer's name Q�� Serial number of V.I..N. /� �?f Year of manufacture 19(o (Official Approving Installation) (Dati) 1 IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION u ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE i" MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 533-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE n T 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. Inspector COUNTY OF BUTTE DEPARTI�EN'T OF PUBLIC WORKS 'L . �," " '''''' dt` ill P1' a f fl ���• 196 Memorial�Wa." Chico — Phone:1891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, 'Ext. 57 CORRECTION NOTICE 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. ,L� p Inspector Q ' Date / - -1C 5— - O i 0 COUNTY OF BUTTE , ZEPARTMENT OF PUBLIC WORKS 196'Memorial Way, Chico,— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise —Phone: 872-2961, Ext. 57 I CORRECTION NOTICE Q e l cher a i -'y.3 - :i?s 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. al l k,',, � " < ire! PCiT-:'��y St�,r:Jl G2 � Q �• k' �C� fnr T j-�k'& 4rr c CALM/ e'..6tra 0'2 004-- J Inspec eor Date�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2861, Ext: 57 CORRECTION NOTICE 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. Inspector � Ems/ Date 6 ''S(— COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERM t NO. County Center,Drive - Qroville, California 95965 - Telephone 916/534-4541 � a APPLICATION AND PERMIT ASSESSOR PAR EL N M ER ZONINIP BUILDING PERMIT owNE TeFEIIHOf SQ. FT. OCC. BUILDING VALUATION OWNER'S AnMAILIN ADDRESS ( 7 (01 l/ 19-1 CON CTOR'S NA E �TELPHONE CONTRA 'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDE 'S MAILING ADDRESS Permit Fee $ AR'VECT OR ENGINEER LA LICENSE No. Plan Checking Fee i $V7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIQ �jG ADDRess CJ �`J � p & V. C+ S6 if kn r6 ki PJ; Permit fee $ /A-, Q PLUMBING PERMIT Filing Fee 10.00 / - O L --o e r C S Each Trap 1 2.00 ro u i Ile— Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas 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 0.00 ea TYPE OF WORK New❑ Addition[ Fie odel❑ Utilities Installation❑ Other❑ Describe work: PennitFee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 o LESS tv s 10.00 Main service EA. A L oo A 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.e,` OR ADDNS. L ACC. BLDGS. /21/2 2sq ft NEW CONSTR ULT' -OUTLET 2,50 ea NON•RESID BRANCH CIRCUITS) POWER APPARATUS tr OUTLET CIR. Ex. Occu 20 130 p OUTLETS OR FIXTURES eAL30 EX. Occup. OUT LE Ex. ((RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 232 Misc. Iyirin g 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga(ns said Co my in conseque ce of the granting of this permit. X ��,t�t� Date �l Signature of Applicant — Owner W Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Q occuP. CONST*TYPEJ �F?JPAr I PD ND sau This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DZOR OF UBLIC p By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASS[350R, PINK -INSPECTOR, GOLDENROD -APPLICANT • R To: Hurl r;.inr 1le4�:iralncnt . F r�^�: r;nvir'onr^c r tai. ilt,.11 t►r 0', j, t : San t.*%Lion M enraw--c. Duncr Lora 1. ion �i7 j'Sc`:J1f;C T)ispo:;.�1 4aiter SuE�i�1y _ — Fl an Approved for: — a��t�,�• C)Ilpply hold rirnal, 'for: Water Supply Final C:.�:r�ru :::c /U. K. for: Gie.ara^^.e :or ( bedreoT u: e/mo'�il.e'.sor, or other _ I IIS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALI,FO'I�NI'A� 95965 - TELEPHONE: 916/534-0541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Ron Belcher A. P. No. 9R-11-11 Proposed Building Use MIiU Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector A.H. Brandel 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. . . . . . . . . . x' .. Plot plans in duplicate./jt� rip-lic' ate a`-'�✓ • 3. Complete plans in duplicate./Irlplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. IR) �8. Fees of $ so -no . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. ,Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: /)W 12. Certificate of Workmen's Compensation Insurance. . . . . . 3. Contractor's License Information (no., name style, classif.) 4 4. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . • 1Pre-Inspec. request to (Doti) Building Pre -Inspection for � -Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant /a. i�� Date A6-f47o �r Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of I' ation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Date Plans approved by tni / Date Other: Copy—DPW Date Other a COUNTY OF BUTTE - Department of Public Works 7. County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of ' the proposed property improvement (yes or no) �L . .2. I (have/have not) ���/� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ��� AV - Property Owner Social •Security Numbers- Date y/j,,�r��7 NOTE: This Owner-Builder'Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. OWNER I A e, r— PERMIT It MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Struc. Test eq. ervice �ize Other Load T e Pipe Size Length YESI NO YESI NO G, 3/y 1 • . _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Califarnia-959455 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESS ARCNUMBE 11 _ ZON G — BUILDING PERMIT OWNEELEPHONE le,kr SQ. FT. OCC. BUILDING VALUATION OWN 'S AI LIA, ADDRESS ZU 91f CON ACTOR'S NAME 1G, TELEPHONE CO%LX,R ACTq.Re'-S LING ADDRESS Fireplace CONS /Y,-)UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LA la. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIIIIG ADD Ess p .^ Y el L" Permit fee $ ` PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 1SFG W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe work: _ •f - 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 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.p I/Z�Sgft OR ADDN5. ACC. BLDGS. NEW CONST R.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 2ALI Occup(OUTLETS OR FIXTURES eL030 FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.) EA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Cou ty in c nse ue ce of the granting of this permit. %� „ 2 Date — Signature of Applicant - OwnarX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC JFL,0TRCELJ PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC B P041T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS —Date_✓% _,P.6 Receipt No. S WHITE -D. r. W., YELLOW-A38C990R, PINK -INSPECTOR, GOLDENROD -APPLICANT V r COUNTY OF BUTTE.- DEPARTMENT OF,PPWC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV,ILLE, OALIFORNIA 95965 - TELEPHONE: 916/534'541 / PERMIT APPLICAT10N DATA SHEET r Permit No. OWNER n N /CtiA. P. No. Proposed Building Use . ?W / Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector K Datey/ T/ nl0 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 . PPROVED1. All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) caner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Impr ments may be required. . . . . . . obilehome Installation Data. . . . . . . .- . . a- 17. Pre -Inspection for RequiredPre-Inspec. request to - Building Inspector (Date) 18. Recorded,)jRWj Qf�jM.tIya &c know Iedgmen t Statement. _ 19. Other 1 ` onstruction approval require prior to occupancy When you issue the permit, process as follows: Mai o owner. Mail to contractor. Telephone and hold for pickup atCji6o office. Deliver w/inspector. Other Applicant4�4 s Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked abovee f a plication, circle item-) 1. Index permit for above Items No. NY_ 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by / c Date 5— — Other: Copy—DPW COUNTY OF BUTTE - Department. of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 andAtpaterials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social-Securi u be — - Date441 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Ron Belcher P.O. Box 3092. Yuba City, CA 95992 Dear Mr. Belcher: COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-454 With reference to the above subject: " Attached is: DATE February 32 1986 RE: Permit application for mobilehome utilities. A.P. # 28-33-33 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER XXXX We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. XXXX Plot plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect: Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville-, for Completed Owner -Builder Verification form. Recorded copy of deed showing XXXX Recorded copy of agricultural acknowledgement statement. OTHER Please return these items to us so that we may issue your mohilehomP utility permit. Thank you. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector OrderN_o. Escrow No. 3-82682. Loan No. WHEN RECORDED MAIL TO: MR. RONALD E. BELCHER P.O. Box 3092 Yuba City, CA 95992 85-22579 - C0i:JEO PI UFFMIAL RECORDS OF BUTTE COUJiTY,CALIFORRIA AT THE REQUEST OF MID VALLEY TITLE Go, 1965 JUL 30 PM 12: 23 ELEANOR K BECKER CLERK -RECORDER FEEa 85®22: ''19 t Pages SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: 22.00 same as above DOCUMENTARY TRANSFER TAX $ ............................................... ?9Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances C� �rai 'ng at time of sale. Signature of Declarant or Agentdeter. �nta. — Flrm Name AP #028-33-0-033-0 MID VALLEY TITLE & ESCROW COMPANY GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ?�ZvP 'c� Pq/O BILL Pt GORMAN, a single man (SLISO k -n o w n a s ►31 � � � G or ma n hereby GRANT(S) to RONALD E. BELCHER, an unmarried man the real property in the RD4b= Unincorporated Area County of Butte SEE ATTACHED Dated July 16, 1985 I STATE OF CALJF.ORNI la'-Ic _ ;ss. COUNTY OF 7 otivr (_L o ' /93 before me, We unde �r sisigne ld, a Notary Public in and for said State, per- sonally appeared D, 1'/ IS.,rh'tatleot. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same. WITNESS my hand and official seal. Signature BILL P. GORMAAJ 'Ile State of California, described as 011'F1CTAL SEA ;.,i:'.:•j X ANINE C71.A5'� I� f1OTF,kY PUE!LIC - CAL!P'0R;JL= a, r S,V4TA CLFR'A r.0 1 ti�_ �•=--= i19y corn.. ex,i;2s G:"..T 21. 1•'7" (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) DESCRIPTION: 4 85-LLD(U All that certain real property situate in the County of Butte, State .of California, described as follows: 'ARCEL I: rhe South half of the Northwest quarter of the Southwest quarter of the Northeast quarter.of Section 34, Township 18 North, Range 5 East, M.D.B. & 1. -)Aprri T T - A right of way for road and public utility purposes over t -he North 30 feet :)f the East 60 feet of the North half of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34. 'ARCEL III: A riqht of way for road' purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described line: BEGINNING at the Northeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence South along the East line of the West half of the Northeast quarter, of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 660 feet to the Southeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence -West along the South line of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 330 feet to a point at the Northeast corner of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence South along the East line of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 400 feet to a point 70 feet South of the Northeast corner of the South half of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34 and the end of said centerline. EXCEPTING THEREFROM that portion lying within the bounds of Parcel I, above. PARCEL IV: A right of way for ingress, egress and public utility purposes over that portion of the East 30 feet of the West half of the East .half of the Southwest quarter—of- the Southeast quarter; and over that portion of the West 30 feet of the East half of the East half of the Southwest quarter of the Southeast quarter of Section 27, Township 18 North, Range 5 East, M.D.B. h M.; and over that portion of the East 30 feet of the West half of the East half of the Northwest quarter of the Northeast quarter and over that portion of the West 30 feet of the East half of the East half of the Northwest quarter of. the Northeast quarter of said Section 34, all lying Southerly of the Los Verjels Road, as said road existed on January' 22, 1959. PARCEL V: A right of way for road purposes ,over the North 60 feet of the Southeast quarter of the Northeast quarter o'f said Section 34, and the North 60 feet of the East half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34. END OF DOCUMENT . - , �: M ... ----- - . -- . _ . . Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT r;r UTTE COUIdTY.CALIFORMI;k FOR RESIDENTIAL DEVELOPMENT t;T THE REQUEST OF Section 26-8.1 of the Butte County Code, requires this acknowledgement PARTY SlV be recorded. prior to issuance of a building permit: FEB —6 Arai 11` 28 The property described herein is adjacent to land or includedEEEANOR hi. BECKE.R within an area zoned for agricultural purposes, and residents oftE;—RECORDER FEB property may be subject to inconveniences or discomfort arising from L4esm 4 ti;3q the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real 'property situate in the County of Butte,,State of California, described as follows: G/'q `���✓� �� � ,�/cJf�� Of �1q Dante. PROPERTY OWNERS: 1"f State of \ \ �,. On this the day of ? >�.�<:,_._, 19;`k,, before SS. me, the undersigned Notary Public, pers nally appeared County of k ) —� Personally known to me.\/ /� Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein IN WITNESS WHEREOF, I hereunto set my hand G � Present A.P. No. D `, n �_i� > )I contained. and official seal. Notary Public ^' OFFICIAL SEAL HE 1D1 ROSS NOTARY PUBLIC CALIFORNIA • YUBA COUNTY MY COMM. EXPIRES DEC. I, 1989 BUTTE COUNTY DEPARTMENT,OP PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 _4I MOBILEHOME INSTALIATION SHEET 1. Owner's Name: Roar aluz/440, is the 2. Installer's Name: 544114 service rating? -------------- Amps 7. What is F-1 mobilehome 3. Is the site currently under permit? Yes ® y No _ (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes ® No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? y Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------,- Yes ® No FV (If yes, identify the load and size: wrZ-L(_. (Load) a.o. (Amps) 9. What is the mobilehome site gas pipe size? -------------- My (in.) 'T 10. What is the type of gas service? --=---------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------- / V_ (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA c� s If other.than single wide, r Mobilehome Mfr. 1/ m furnish Setup Model No. Year l Width (Q (ft.) Box Length 5�(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973•, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)❑ 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one) F1.' Concrete block.❑ 2. Other '.(specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Liac I Line 1 Line 2 Main Beams - Lin, -----_---- Line I4 — — r Line 2 r Main Beams Line 1 Piers: Size-Min.------------ Spacing-Max. --`-==--- From Ends -Max-------- Line 2 Piera• Size -Min. ------------ ,1 spacing -Max .--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------.- Location (From Front) Tag or Triple Line 1 Openings: Size -Min. ------------------ nx „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max.--------------- From Ends -Max -------------- e 4 Piers: Size -Min .------------ ,k n Spacing -Max.--------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Size-Min------------------- Spacing-Max ----------------- From ------------------ Spacing-Max.--------------- From Ends -Max -------------- re -v BUTTE COUNTY BUILDING DEPARTMENT APPROVED �i NOTE:—AII Materials; Workmanship Shall Be In Accordance with. Recognized Good Practices and of a quality prescribed for the -Specified use in Ab. Uniform Building, Plumbing & Mechanical'Codes and the National Electrical Code. Utility connections shall be within 4 ft. of the mobilehome, either ---directly-behind.or-wGth.in-the.-raer-- .-- - -- half of H-e-readside'of th® mobilehome. . 'this set of plans and MUST be kept on the iob at all times and it is unlawful to make any changes or alterations on same without written permission from A.9 Department of Public Works, County of Butte. ' F 600 Sp. FT. MINIMUM : FOR MOBILES---��� f 061L 90/tf E 'K permit will Ue required for the' installation of the mobilehome. ' A setback of 5 ft. from the property lines and a setback` of 50ft. from the road centerline shall be clear of structures or equipment except N for a 2 ft. eave overhang. 32 BUTTE COUNTY C BUILDING DEPARTMENT APPROVED r RESIDENTIAL 28-33-333BPE BELCHER, Ron ;180 Damron Rd, Bangor conv port garage to hobby shop Lqo 10CL OA ,M cc� JO FINALEDDat ( e) Signature J=OK Card B-1 \` Date Card B-1 Date O = Not OK Date ' = Not Applicable ' Not Ready 1. Zoning Requirements -Setbacks Easements MOBILE HOMES 2. Footings; Size -Spacing -Marriage Line , Date M . E H E UTILITIES Plans OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. oni Requirements -Setbacks -Easements 2. s; Special MH Support Sketch 8. Gas and Electricity Tagged 3. ewer; Location -Test -Fall -C/O Concrete 10. Cert. of Occupancy Water; Location -Test -Ease ent Needed (Sketch) .5. lectri i y; Locat' -CI ces-Grnd-/ /Amp -Concrete Date Card B-1 Date Card B-1 cat r p: / /" L" ft. Card B-1 Date Card B-1 at^or/ /"L"ft./ /"LPG ell X1earance & Disconnect 8. Utility 6Learance Date Card B-1 \` Date Card B-1 Date _ Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 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- Bea ms- 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 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth r 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 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 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------- ---------------------------------------------- -- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------- ------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------- --------------------- ----------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------- --------------------------------- 28. ----------- --------------------•------------------------- 28. Subfeed Wire Size ! / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al - ----------------------- 29. Range Circ. ! i ga. Cu or AI -Oven Circ. / 1 ga. Cu or Al. 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. Smoke Detector ----------------------------------------------------------------------------- -------------------------------------------------------------------------------- Date Card B-1Date Card B-1 ------- --- ----------------------------------------------------- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------- ----- ---- ------------------------------------------------------ 35. Vent Fan:- Exhaust aoove insulation ---------- ----------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------------- - - 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date F" ING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - 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 ---------- - --- - -------------------------- 4. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Ritr. 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 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---------------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -------------- - _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings - 60. Infiltration -Walls -Windows Date and B-1 Date Card B-1 Date( Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. 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. Elec. Outlets'& Receptacles at Kit. Counter ---------------------- 72. ----- - - 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. lec. & Mech_Equip. Listed for Location Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------- ------ 77. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps -79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ 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 _ 85. xater Well; Disconnect, Electrical, Plumbing ---- erior Elec. Trim; G.F.I. Receptacle -Underground - 1---------------------------------------- 86. Ventilation Throughout House L.C�------------ ---- lass Protection _..--------------------------------------------------------------- 88. Corrections from Previous Inspections --------------------- ------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------- ------------ ------ --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------- -------- --- Date Card Date_Card B-1 �_Card B-1 Date Card B-1 ------------------------------------------ Date Card B-1 Date Card B-1 Comments at Final: 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 #'s -16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------------------------- 17. Wat Pipe: Test & Anch�Protection -------- ---- -- ------------------------- 8. W. ; T st-Fittings & A r- I Protection 1 Sh a : Test. =first oor-Tub ccess 2 Test u & r, cond Flo r ub Access ---- - --- -- - ----------------------- Gas ize nchors Date Car 1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------- ---------------------------------------------- -- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------- ------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------- --------------------- ----------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------- --------------------------------- 28. ----------- --------------------•------------------------- 28. Subfeed Wire Size ! / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al - ----------------------- 29. Range Circ. ! i ga. Cu or AI -Oven Circ. / 1 ga. Cu or Al. 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. Smoke Detector ----------------------------------------------------------------------------- -------------------------------------------------------------------------------- Date Card B-1Date Card B-1 ------- --- ----------------------------------------------------- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------- ----- ---- ------------------------------------------------------ 35. Vent Fan:- Exhaust aoove insulation ---------- ----------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------------- - - 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date F" ING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - 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 ---------- - --- - -------------------------- 4. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Ritr. 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 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---------------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -------------- - _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings - 60. Infiltration -Walls -Windows Date and B-1 Date Card B-1 Date( Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. 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. Elec. Outlets'& Receptacles at Kit. Counter ---------------------- 72. ----- - - 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. lec. & Mech_Equip. Listed for Location Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------- ------ 77. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps -79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ 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 _ 85. xater Well; Disconnect, Electrical, Plumbing ---- erior Elec. Trim; G.F.I. Receptacle -Underground - 1---------------------------------------- 86. Ventilation Throughout House L.C�------------ ---- lass Protection _..--------------------------------------------------------------- 88. Corrections from Previous Inspections --------------------- ------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------- ------------ ------ --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------- -------- --- Date Card Date_Card B-1 �_Card B-1 Date Card B-1 ------------------------------------------ Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 028-330-033 ZONING A-5 BUILDING PERMIT OWNER Ron Belcher TELEPHONEp 679-2720 SO. FT. OCC. BUILDING VALUATION Est. 3,160.00 OWNER'S MAILING ADDRESS P.O. Box 109, Bangor 95914 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$3,160.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 93.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 3 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECT FY Gas piping system 1 - 5 outlets I 5.00 Building sewer 1 15.001 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ® Uti lities ❑ Installation❑ Other ❑ Describe work: Convert Portion of Garage to Hobbie Shop 316 Sq Ft with BAth Permit Fee $52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 (Work one Without Permits Main service 600V200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Main service 200ATO1000AI 37.50 NEW CONST. OR ADDNS, l ( DWELLING OCCUP.8l) ACC. BLDGS. 3.6q sq.ft. NEW CONSTR. MUT'"UTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Permit Fee $ 30.00 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. 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a�ainstaidunty ' onse uenc of the granting of this permit. � Date Signature of Applicant — owner Contractor 1:1 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $175.75 HAz DFEES IMP FL 00 CDF PARCEL PO HD ISSUE r/'% This permit is hereby issued under the sions of the Butte County Code and/or Work indicated abgve for which fees VQJR OR AF PUB IC By PE MIT XPIRE Date --f applicable provi- resolutions to do have been paid. WORKS Date�� Receipt No. 110283 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDINGQ.IV,I,SJQ;N rt DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street,'Ct ico,aCA-= ('916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 b CORRECTION NOTICE OWNER i PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please ,notify 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. 6 ri J /J3e,4 d7"' o s' S`o-+ e— Q U G_ 3 �oti�a 4- -01-A o Ong (9 j�6' •�-- In -.r C ey ••3 Date q Inspector' �(/ �, S z REV UY92 COON.TY OF BUTTE - DEPART M 7 COUNTY CENTER DRIVE - OR $ PERMIT A a,� BLIC WORKS - BUILDING DIVISION /ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PLIt-K N DATA SHEET i' Permit No. a // OWNER A 6AJ Y�9CJCW f2v�8- 33 " 33 A. P. No. Proposed Building Use(2deA&€ 7/6,64,6,eA1W - Building Inspector k7 Date Z 92 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 . . t 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 manufacture'r's installation instructions ........ 10. Fees of $ ✓ :.. 11.f Chico Urban Area fees paid ....................................... 12. Park fees paid ..................... /............................. 13• School District fees paid .............. -Mg- 14. Sanitation approval from _Ozov%/10 Health Department 2 -z 15. City of Chico plumbing permit ..................................... ,r16. Plot plan and business license approval from City of "(see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway, permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector' (Date) 21. Contractor's license information (No., Name Style, Classifications . . ' 22. Certificate of Workmans Compensation Insura a .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 Letter Of signature authorization . 26 A a /mTiA lb UAe Cl///10 /J? /fAy/ml /ln /�inTD {vi1,Gi r� I 2 1�c1 27. U U 0 When you issue the permit, process as follows: Mail"to owner. Mail to contractor. _Telephone and hold for pickup;.a't office. Deliver w/inspector. Other Applicant 1 Copy of Hdz-Mat form sent - Health Dept. /,-Fire Dept. Air Pollution Date 1 Copy of plans sent Health Dept. Fire Dept. Other Date By it The following data must be submitted or to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ) r 2. Additional items required: Contractor, designer, o was advised of above required data by Vphone mail counter by1�..date Contractor, designer, ownerZs-advised of above required data by—Lphone—ma ll—Counter by'A0 date Ndb Plans checked by Date q 3 92 Plans approved by_Pu� Date4113132 Sets of plans on hold in File cabinet AP folder Copy—DPW a 2� COUNTY OF BUTTE - DEP,ARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a` ,,, ZONING :5 BUILDING PERMIT OWNER AIA�k6kg679-2-74 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'SIL jNo*DORO9 &w,� rV CONTRACTOR'S NAME U/N/js TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $o LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ . 5–p ARCHITECT OR ENGINEER �—` LICENSE NO. Plan Checking Fee - PWj v C� ARCHITECT OR ENGINEER'S MAILING ADDRESS_ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 80AA M ,n 1 � Permit fee $ 3 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 )5 e>0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome❑ 0t her1*121 CfE SPECIFY Gas piping system 1 - 5 outlets 5.00 j Building sewer 15.00 /S` C C> Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition❑ Remodel Utilities ❑ Installation[] Other ❑ Describe work:,OAJVC- l- &r-ftdtil p 6r,4/It-& - TG RoLb;F si4oe 3V-0 5a.FT Cly;+In RA+V\ Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 K /u �'(�M �� S \� Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO t000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am 'exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ADDN5. ACC. BLDGS. II 3.54 sq.ft. NEW CONSTR MULTI -CUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 66d A Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 /S.UO Permit Fee $ 02> Gt> — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject'—permit 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 15.00 Heating Cooling g Hood 6.50 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz I D 111 IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC y PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ! Date i ! Receipt No. WHITE -O -P-. YEI Inw-.a n•aano ou•-ivaerrrno �nnom.. e..n _. nn. .....r if COUNTY OF BUTTE - Departmen-t of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) /,��/ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License,No. 4. -I-plan to provide portions of this work,* but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: n��/ Property Owner /�L `' � Social Secuur�ity umber �- Date. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the California Health and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. �o of Ve °RKS 4p� 1 g 1992 7,4 ' 4 r . may. n� � �: �C' ,i � � �r , �; - ,. ._ y�r.�- - - .- - -- - - _ .-� # - - _ ,nom—. - ,- - s - a r _. _ _- - - �. x � t �' r s -�►. r _ � ' .,,� i .. >� r' - _ � C _ - - - .tea ss� .4..�:ar a _. -� �.:�.a���r�� 'fl i -. ...t r t .� PM v �q d 10, n . TOna� ' Buildinq Department FROM: Environmental Health ,SUBJECT: Sanitation Clearance COUNTY OF BUILDING DOU77E PT APR 0 2 1992 0 -^ Owner Location KP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Walter Supply Clearance for bedroom mobile home. Other 0.•r NOTE - W�,r W G✓ / -- Date Sanitarian COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, Califorrlla 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �' �a ASSESSOR PARCEL NUMBER 028-330-033 ZONING BUM61NGPERMIT OWNER RON BELCHER TMNE2728 b y SO. FT. OCC. BUILDING VALUATION FST 3,mo-nn OWNER'S MAILING ADDRESS PO BOX 109 BANGOR, 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 63 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 180 DAMROid RD PERMITFEE $ 83.00 BANGOR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE (W/O BATH) SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX Describe Work: COMPLETE BP#92-933 (REPLACES BP#94-1033) Mobile Home I S I GI W 111@20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) S0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 p ,.00 BAL .00 Ex. Occup. ( O) UTLETS (RES D.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) l� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X __ Date � g e of Applicant - O' ner Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 33.00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE 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 a e been paid. y Date 7Yj PERMITEXPIRESON �] (Date) Receipt No. ( WHITE-D.D.S.-BD. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M r_ , Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ ]. I HAVE[] ' HAVE NOT[ ] signed an application. for a building permit for the proposed work. 3 I have - contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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: NAINIE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY O SOCIAL SECURITY NUMBER: DATE: W ^ /— NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such- a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name.. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. , If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 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. 0 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 uniicensed persons professing to be contractors is to secure an "ownerbuiidee' 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. Sin'c/brel , /7 Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville; Ealiforaia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING 0 BUILDING PERMIT OWNER J TELEPHONE SO. FT. OCC. BUILDING VALUATION OW S MARL ADDRESS I •,, /'1 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOSOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS - "` Permit Fee $ _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS I PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other W D ECIFv Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer '15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other a—� 0� Describe Work: o — Mobile Home IS G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a00V OR LESS \ ( 200A OR LESS J 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURS OR NS. ( & ACC. ) O. 3.5¢ FT. TL CONST. MULTI.OUTLET NEW C NON•RES1D. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 6AL SO FIXED APPLNS. OR Ex. Occup. ( OUTLETS (REBID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation. insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OcchHAZ. TYPE TOTAL FEE $ 3 . FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 028-330-033 ZONING BUILDING PERMIT OWNER RON BELCHER TELEPHONE 679-2728 SO. FT. OCC. BUILDING VALUATION 3,160.00 OWNER'S MAILING ADDRESS PO BOX 109 BANGOR,95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 180 DAMRON RD PERMIT FEE $ 83.00 BAGOR, 95914 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas Water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ElUtilities 1:1Installation ❑ Other ❑ Describe Work: PERMIT TO COMPLETE #92-983 (W/O BATH) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOv OR LESS ) 2ODA OR LESS 23.00 ' Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RES D. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPINS. OR P• ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in Count in conse ence/o'f t e gr tin of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83.00 HAZ. D. FEES IMP FLOOD COF PARCEL I PD HO ISS 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. /f BY A%" Date PERMIT EXPIRES ON `k t etel Receipt No. 162472 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE-"OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER -A. P.,lo. Proposed Building Use (IA 4IY [e, l �1r %S Building inspector Date 14 t At time of De it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ....................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........,.................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturers installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . �16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Pre-I"apeclo; req°s- required. .. to B�Ilding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. / When you issue the permit, process as follows: 1.,"' Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2 J ZONING BUILDING PERMIT OWNER EPHONE S FT. OCC. BUILDING VALUATION OWNER'S MAILI Q L /' / l//_ 616, CONTRACTOR'S N�/ // Vv TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v PERMIT FEE $ , 0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBOIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE /) / �j SFO Duplex O Mobilehome O Other j�CO C� sPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities EIInstallation ❑ Other O Describe Work: C� � PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OR 200A OR LESS 23.00 2MA) Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AOONS. ( 6 ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI.OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B2 @I.00 Ex. Occup.FIXED AP"S. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accru against aid County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor O Agentof An OSHA permit is required for excavations over 5"0" dee nd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. IYPE TOTAL FEE $ g� v HA2. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON fOetel Receipt No. 6 � , y ) 7719 -By WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • COUNTY OF BUTTE Department of Development Services Building Division Oroville: -7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd:, Chico CA 95928 Ph: 916-891-2751 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 pqln to rovide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) r signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. VIOLATION CHECK LIST A.P. # AddressZL4e Owner Owner's Address S' / Owner's Phone No. ��Z%-e�,7;Z g Super oral District Tenant's Name Phone No. - Type of Violation in Detail with Code Section Priority No. P 3 Specific Plot Plan with C/V Noted des no Penalties Required 1st. Notice Sent d - - 2nd. Notice Sent — y� (Date.)Date Comments and/or Determination. y AW -, s gA5 �-�- - ,-- Disposition For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) 1 PERMIT NO. PERMIT EXPIRES OWNER RONALD BEL HER CONTR. Owner t ASSESSOR PARCEL 28-a-33 LOCATION 180 Damron Rd, Bangor Y, Temp. Power Pole _ Called PG&E Temp. Elec. Se Called PG! cTemp. Gas Ser j Called PG! JOB FINALED Signature = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date_ FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ - /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5, Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63.. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa. 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace Stove; Clearances or -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Win Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or AlA or 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79• Following instld.; Drive 0 Yes 0 No; Walks., 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date - Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -81 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) = OK 0 = Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date QECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements V1. Zohing Requirements -Setbacks -Easements Cb?, , 0,�t 2. Soils; Special MH Support -Sketch . Footings; Soils -Size -Depth -Spacing -Connectors -S 3. Sewer; Location -Test -Fall -C/O -Concrete 3%Deeks;,MMers and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4,aAfooa—fFwn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P'l- ft. , olumns-Connections-Splice-Decal-Enclosures / /"Nat. or/ PV ft./ P'LPG dow -Doors 7. Utility Clearance lec. - li US u t -I p J' YB�Frmg; Sills-Anc ors-Studs-Rftrs-Trusses 1,LO:'-Sig: Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date Card -81 Date Card -131 Date Date MOSILEHOME INSTALLATION (Plans) OK except #'s� 'Z 1. Zoning Requirements -Setbacks -Easements Card -81 Date _ ' Card -B1 Date /- T -S% 2. Footings; Size -Spacing -Marriage Line Card -B1 Date _ ,Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector Date -POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -81 Date CERTIFICATE OF ROOF COVERING OWNERS NAME�ifl•C�-iLcR, A. P. #: ZS• Z3" 33 ADDRESS:. PERMIT #: BUILDING SIZE/AREA: 741 BUILDING USE: 6,41K14Er0 C VTC, FIRE HAZARD ZONE ALLOWED ROOFING FROM LISTS BELOW fm VERY HIGH #1, #2 ❑ HIGH. #1, #2, #3 ❑ MODERATE #1, #2, #3, #4 LIST #1 LIST #3 CLASS 'A' ASSEMBLY ❑ CLASS 'B' ASSEMBLY ❑ CLASS 'A' PREPARED ROOFING ❑ BUILT-UP ROOF PER 3203(e) ❑ CLASS A OR B PREPARED ROOFING LIST #2 ❑ ASBESTOS CEMENT SHINGLES ❑ METAL ROOFING ❑ CONC. OR CLAY TILE ❑ (OTHER FIRE RETARDANT ROOFING), ❑ SLATE SHINGLES LIST #4 (0'1'111?ll NON-COM1iUS'L't.lil,l; ROOF:I.NG) ❑ CLASS 'C' 235# ASI"HAL L' SIIINGLI?S T'}IEREBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON THE ABOVE BU.f.LDING, IN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS. FIRM NAME Please Print) STATE CONTRACTOR'S LICENSE NO. X, P?"- 9 4 07 S:.NAT RE OF GENERAL CONT ACTOR NEDATE THIS CT; COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIDN, AND -PERMIT P/fyIT�N-J AS$ S OR PARE N M ER ZONI BUILDING PER IT ow C = �, Jci SQ. FT. OCC. BUILDING VALUATION OW R'S MAXG ADORF,S r �'S9/ D /S'n CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Tota! Valuation $ Filing .Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I - ECT OR ENGINEER PIC LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS g/T/ Permit fee $ / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 n © r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PkIRCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTILIAGas SF ❑ Duplex FTMobilehome❑ Other1/ P sPECIFv piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea 4ELECTRICAL TYPE OF WORK New [0 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 100 AMOR P 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one P Y r P J yhk ( )' ' ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC , OR ADDNS. ACC. BLDGS. �Z0sgft , NEW CONSTHL MULTI—OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .00Sot FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.Y 2.00 Temporary service 10.00 1 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County Ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains saidCoun in consequenc fthe granting of this permit. r, X Date— Signature of Applicant — Owner R Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oc P. co ISCHOOLIF!IPAYIPJ ND S U This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECT OF PUBLIC By PEPOT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z� Receipt No. 06 WHITE-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . �. I.� ' .."J""'�-`.+. �t-./�"'"rv�'A^`� �s'.,,f •�l.,iily'.li. .. -'ti ',c ; ��-�.! ..�+i� i �.�t � .,,.'., ` , -, ...�� ..� y 1 . v. ` . ,' _; .. $� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 0 e�' 7 COUNTY CENTER DRIVE - 6AOVILLE .CALIFORNIA 95965 - TELEPHONE: 916/538-7541 i �$ PERMIT APPLICATION DATA SHEET ' a � l l Permit No. � OWNERD N &//IrlC'VIF� P. o. Proposed Building Use Pv✓a F 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriz.dion. J 10. Sanitation approval from`. he'th*HealDept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . 17. Pre -Inspection for _.- _._. _. _Required. Pre-Inspec. request to (Date)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _20. Plot plan approval from city of _ 21 Engineered trusses in duplicate (required prior to plan check) EI 22. When you issue the permit, process as follows: XMail to owner, Mail to contractor. 4. Telephone and hold for pickup at—off ice, Deliver w/ Inspector. Other Applicant 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). N, 1. Index permit for above items No. 2. Add.itional items required.:. -- r Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date Contractor, designer, owner, was advised ci above required data by—phone—mail—co unte by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO .. Buildincx Department FROM: Environmental Health SUBJECT: Sanitation Clearance ---� Owner Locatio AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K._for: Water Supply Clearance for _ bedroom mobile home. Other Ct NOTE * * * Sanitarian Date COUNTY OF BUTTE - Departmen•t of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 9161 � 538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and at rials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Socia ur — Security' mbe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. , This verification must be completed and returned to our office before we are per- mitted to issue the permit. s 2.143-85P,E RON BELCHER 1 Los Verjeles Rd.-, t Oroville r 4 . a t s 2.143-85P,E RON BELCHER 1 Los Verjeles Rd.-, t Oroville r - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-•Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING ,4J- t BUILDING'PERMIT OWNER/ / Well 44 i�r if he e TELEPHONE �� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME I �n kU. J" r k �)/1 r� TELEPHONE (1� 699•,W141f CONTRACTOR'S MAILING ADDRESS - •� % Fireplace CONSTRUCTION LENDER �r?N A UNKNOWN Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER JJ") pt P LICENSE NO. Plan Checking Fee $ Energy Plan Checkiig Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS } v �a S 01 r IP ,, S iCc� •n c� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 f ) + , I-, vo V o rl U d0 Each Trap 2.00 ` l�'( )), , l)� `f✓ S I/f� Y If'p ' Qj'F„ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME) PARCEL MAP Water piping J [ �7 5.00 .00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00ea TYPE OF WORK New ❑ Addition ❑ RemodelD Utilities ❑ Installation[ Other E] work: -- t� r r �' Nrl u) F e- D IA A r7 1- )_UJ t4V L,oi )� f/P , C4• 1)) , /I Permit Fee $ /S. 0152Describe Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6,00V OR LESS 100 AMP OR LESS 10.00 lo.00 Main service EA. ADD'L 100 AMP 2.50 pelt S/ J CONTRACTORS LICENSE LAW I declare under -penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract-MiSo:-Wirmg ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCP.N , OR ADDNS, U ACC. BLDGS. /2 Esq ft NEW NON -RESIT R' IAUBRAN!•HOU IR TLETITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20B50t eAL030 FIXED APPLNS. EX. Occup. OUTLETS (RESIT )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities _ 15.00 rs� - hS 15.00 5,00 //////' AO iof we,lt I of CiP;� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. R I shall not employ any person in any manner so as to become subject to the W. C. laws of California.- Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this permit. X ��� Date !/ �' Signature of Applicant — Owner® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.Tr PC JFLOOaJPARCELJ PD I ND ISSUE# Wr This permit is hereby issued under sions of., the Butte County Code and/or work indicated above for which' Il 'DIRECTOR OF PUBLIC -+�?_l! ���_I 'By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /�7 l Date Fr j r Receipt No. a �� WNITE-O.P.W., YELLOW-AS6E350R, PINK•INSPECTOR, GOLDENROD -APPLICANT ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS0�2ARCE�. NU_B E (��'J S ZONI G -� BUILDING PERMIT OWN - T LE HONE SO. FT. OCC. BUILDING VALUATION OW S AI LI ADORES �. i / CO QAC OR*A /� l? /0/ EPHONE - CON -TRACTOR'S MAILING ADDRESS .l Lj Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER IILICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDJfI DDRESSt s -P LQ/ © e r Permit tee $ PLUMBING PERMIT Filing Fee 10.00 1 Each Trap 2,00 1_05 Vt,�� Q Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME. PARCEL MAP Water piping 5.00 S.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ emodel ❑ Uti li -es ❑ Instal lat' n Ot r ❑ Describe work: �� 6 eqI in r Oc Lzc 4—u2c, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 d� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �C 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.ec , OR ACDNS. ACC. BLDGS. ) h¢sgft NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20®50Q BALe30 Ex. Occup. our ETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home FacilitieA 15.00 Mid& ' g irC h5 jq 15.00 ,00 f W Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f-]Thepermit 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. R -A I shall not employ any person in any manner so as to become subject L"O'1 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C unty in conseq ence of the granting of this permit. �1cYThis X y� Date �%� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA. permit is required For excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 5 OCCOP. CONST.TYPEJ IFOPARCELI PD HO Issu permit is hereby issued under Bions the Butte County Code and/or for which OF PUBLIC wor ime By,� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS qq Date 17W K ff / lmo Tr Receipt No. c P —C - WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 7 COUNTY OF BUTTE- DEPARTMENI'OF--P UBLIC WORKS - BUILDING DIVISION r� F 7 COUNTY CENTER'DRIVE - OROVI`LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 t.? PERMIT APPLICATION DATA SHEET Permit No. \ OWNER &14 ✓ ., Proposed Building Use �/Cl ✓1 o /-61,,101-✓ PC) 7c, ,. Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain). n X,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. . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16: Mobilehome Installation Dat • •Pre-Inspec. request (Date) i� Pre -Inspection for G ✓ Required. Building Inspecto Recorded opy f Agri ultural Acknowledgment State a t. 9 Other _ O When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant �sD Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desig advised of above required data by By Tele L'Ma i I Other Date Plans checked by %! Date I/ Plans approved by Date Other: r 7 Copy—DPW .4. I Ron Belcher .-P.O. Box 3092 Yuba City, CA 95992 Dear Mr. Belcher: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541- July 16-534-4541July 31, 1985 DATE Electiccpermit application RE: r 28-33-33 A.P. # With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees.of $ payable. to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans an& calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville;' Skyway & Elliott.Rd., Paradise' Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for _x Completed Owner -Builder Verifi.aa6®oflo�Or�ight-of-way to a public Road Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X Our records indicate the above OTparcel was created in May 1969, at a time Ll S tt u e ot-of-way to n public road. Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander SPG/aj Chief Building Inspector 1/1 J :- I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2'006-0051$63 Recorded I REC FEE 10,fo Official Records I Coul Of i COWORNED COPY i.00 CAME J. 6RIJBB5 1 County Clerk-Recorderl I I CW 011:33AM 03-&-t-20M I Page l of 2 1111111111111111111111111111111111 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RONALD E. BELCHER REAL PROPERTY OWNEPULESSOR PO BOX 109 MAILING ADDRESS BANGOR BUTTE C A 95914 CITY COUNTY STATE ZIP 180 DAMRON RD INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME 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 06-1561 (530) 538-7541 `gUI�.DING PERMIT N0. 1 TELEPHONE NUMBER066 SION'ATURE OF LOCA. A ENCY OFFICIAL DATE LOCAr.L\A,IFEAANiCAfLYIIOFFICIAL l^,(1 'Ln/�I�DnJATE AMERICAN MFG. HOME SALES DEALER NAME (if not a dealer sale, write "NONE") 1075 DEALER LICENSE NO. FLEETWOOD HOMES 2006 2482K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL617A29723-EX13 564" x 13'8" PFS0979312 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-330-033 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. a5-22579 DESCRIPTION: All thsL certain ronI property situate in the County of Butte, State of Colifornin, descrihed as follows: PARCEL I: The South half of the Northwest quarter of the Southwest quarter of the Northeast quarter of Section 34, Township 18 North, Range 5 East, M.D.B. h M. PARCEL II: A right of way for road snd public utility purposes over the North 30 feet of the East 60 feet of the North half of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34. PARCEL III: A right of way for road purposes over a strip of land 60 feet in width, lying 30 feet on ear.h side of the following described line: BEGINNING at the Northeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence South along the East line of the 'Test half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 660 feet to the Southeast corner of the West half of the s. Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence. West along the South line of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 330 feet to a point at the Northeast corner of the Southwest quarter of the Southwest quarter of the Northeast quarter of ! said Section 34; thence South along the East' Iine of the Southwest quarter r of the Southwest quarter of the Northeast quarter of said Section 34, a �.4 distance of 400 feet to a point 70 feet South of the Northeast corner of the South half of the Southwest quarterof the Southwest quarter of the '. Northeast quarter of said Section 34 and the end of said centerline. EXCEPTING THEREFROM that portion lying within the bounds of Parcel 1, above. PARCEL 1V: A right of way for inoress, egress and public utility purposes over that �7 portion of the East 30 feet of the West half of the East half of the 's Southwest quarter of the Southeast quarter; and ove: that portion of the West 30 feet of the East half of the East half of the Southwest quarter of the Southeast quarter of Section 27, Township 18 North, Range 5 East, M.D.B. h M.: and over that portion of the East. 30 feet of the West half of the East half of the Northwest quarter of the Northeast quarter and over that portion of the West 30 feet of the East half of the East half of the Northwest quarter of the Northeast quarter of said Section 34, all lying Southerly of the Los Verjels Road, as said road existed on January 22, 1959. PARCEL V: A right of way for road purposes over the North 60 feet of the Southeast quarter of the Northeast quarter of said Section 34, and the North 60 feet of the East half of the Northeast quarter of the southwest quarter of the Northeast qunrter of said Section 34. END OF DOCUMENT ;t. . i :- COUNTY OF BUTTE ' BUILDING DEPT APR 0 2 1992 32, 2(o`-dtr vn�xsPr� A v7 � j . re ko,4.4- took..*. OJAQ �(ZAAAik)5 2, x H.pzql'ac. C els 30�s- s p2q�x W I +k ( PoT, S c l t ' PA•tE AA) Ckor -o • � �,, . s 4-, 13 V X Tk 0c 1 l L C s�)cS n 5 kAo N a I ' i 1 --.APPROVED Butte County Environmental Health /Date -- - ------- - Signature �tl t Z1 f' f"' lei � i„� c�.�.•F.� 1�,. 1i.?i;._l�-_. P 11 1,7 s F I N 89 44 i2 -'v 663--(0 septic tan k •loxSSf'raifar Wei . n aAeK6ccmLL-Is/GAJ 0% �J12�UI9TE use ONVj' K Np'N H7Wr•l7Y&E Splice E0 - EO Leg ie --n J ,dsyrv,ey hA L,S: 42•.06 grid ,vL- Prop-erty I me Plot PL.m-n Ica` For DEveLopm e-nf of Pcircel 028 -33-00330 L o c qr+e J ?2-31 5o, of cN 172 cvrnler of SeJio-n 30 + 1134-m clot' Ref: Survey fog Sen G u L et book 6+ Pg 2.(? a uff e Co. ,Cq, �-Y GDA. by (spy Rick<4r d ScI n 1 -IS' -8£3 Ph: 09- ZZ37 A setback of 5 ft. from the Property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except fnr e 2 ft. eave overFianq. °d0Tr: =4A Materials 2k Workmanshi p �holl do R. Aceerd�cs" wit�1- Recognized Good Procfices and of a wafy prescribed for fhe Specified use in the Who n iuiil'�, Pk mbiaq & Mechanical Cods enc,' ►Ns Maiiond llecfrical Cole. BUTTE CMNTY BUILDMIn nrr. ------ M NIENT lOw n e r : APPROVED P.O. Box { O 9 : 8,,a. -n qar- C4 9ST 4 BUTTAZA. SUILEMING DEOARTMENT APPROVED pp,* g2_g93 3ft VI lk) J Q PL ��. - ,: ,J -7r- Yo O/jk;: LIL Qj z uj .0 ul uj Z CL D ca . * P/ . 39, Septic tca ki �ti Q- i0X 55f� i}of ew wamastfe 105— We 05We 1 0 svrVey huh Dy .i t! ! '3 n e -v,, o-,�f Parcel 02? -.33 " ' F ►te 3 .3d So. C: 7k cod -n Eo Sec i� 3 yin or 04 -toe, -I A.. 4+x I/L Y8 . ycl f ENVIRON*'T' EP+ITN 7 COUNTY CENTER ® �e App nm7,n al nty. P/� - The 2001 CBC, CMC, CPC, 2004 CEC, and 2005 California Energy Standards as amended. by -the _ jurisdiction apply to this project. VL septic taylk nw 213 �- N x to w o m L S, f 6 5 �V We ra J,0 .fl 9tf i jI, +PRC 4290 REQUIREMENTS The attached Fire Safe Requirements must be completed as specified and approved by California Division of orestry This project is required to meet the same practical effect guidelines W p LBi `� -�a outlined in the attached PRC4290 F , , ;. P; eE 0213.33 a 0033 Requirements. �'�' � �,1'L � � i -111)= 1 � r � moi~ �.. a Ref."SQrvey alf' be -n CA oQ book +P 246 I9v e Co. Cot by RON eat, c1Z jo-06 PL 47 ' 0269 S CA_LIFORNIA•CODE-of--'* REGULATIONS -71TI:E 25" .� ,_.: Requi��rements as arriended'byjthe _ ,r ju'risd ctio"n apply wthis project REVIEWED BY Fire Protection Planning Ofncgr CDF, Butte County Fire This project is approved with compliance. ? of conditions on attactied sheet a; i 7 � �66�, �_. ure gr LC'I BUILDING.PERMIT # 06_. >S6i ASSESSOR'S PARCEL # MG -3:m-03 i #..,ilJl4D'�i 1 dUiLDR4G DMS1066 4 A RO'ED l� 06 CcJ F'IANNING DIVISION - BUILDING P N APPROVAL use: �N Date: 21IT110G Parking: Landscaping: Other. Signature: ' W Y . I opt 14 a,8 is (c e r I, 8 .{ I APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INPECTIONS ' File Copy Owner_ BfL CHCtq APN OZq - 33D - D :� 3 BP# 06- i56t Y .. 1. For Garage to be built =f or Roi-,alld E. ge�ck�,. Cl c4 ss S ic,q�io R.3 This sof Of Am OW speeifications MUST be i6b ss} J tn*es and it is unlawful to My o�wlis w o*weiiMr on some wifhouf M *am 40 Deparklm t of Public Ph - T9.2._2-:3 7. -- - - - - - --� S N 89 44- la w fo C� • g�O I septic -�onk ,�%� 10X5, tr-aiior' + n g ul I J [I-\ veli a �I 2 5)a" 4 3. Vq A setback of 5 ft. from the propeft'lines and a setback of 50h. hom the road awterline shall be clear of Sructures or equipment except fr» it 2 ft. eev.0 overhang. Leg -n NO%: ---M Materiak i Workmanship wma ilk Aceenfeam Milk Recognised Good Practices and Survey h v 6 L'S'. 4 a 0 a of a waty prweribed for the Specified use in fhe umlem 11-11 , ►. abinq i ,ci40dYL- Pro1-)-erty Line cilli. 16 Fc>r DeveLop-rr` e-$ of P.Qrced 02 -S -33-0033o L o c-<:r+e 44 32-3 " so.. of CN j� C'Orn `r of ' SeJ,10-n 1.+ 5q7, C or' REf: Survey for Bern G u L of to -.u -Bi book 6t P9 Z 4 B u fe Co.. Cq, y GAA, by Ray Rickgrdsim Ph., 09 . Z37 BUTTE COUNTY BUILDING DEPARTMENT APPROVED ow.-n�r Ronalie- Ickes P.O.60.% 109 Ban qo-r CQ 9Sg14. Ph: 679 , 2728 3 f� IS !.t 4 Cu . n 'D CO c co m crto �► C r�� ae -ZAC "r CO(4.ry eV"OINoDEPAnrA4E)Vr APPROS 91 2 3 J;K 10"A'hc- b� T5 W�Al A-0 X& mash TTP. �40 114 tip. f 0 -n d gi I am d�e± +lp J." Typ IV, R:3 Le -T M ------ x 0" anchor bolts @ 6' 0*.0 max- and Within 12" of i0ints. -ox2-3 I E I -Clar- PLO -1-1 ho u A ate son ..;iA, f- to 1 Ls rn da" W. 17, R R�c6w-4;5<ni 1 -4q -.SS PW.0-9-2Z-37 2 .2. LA 55. PWTf j04 R4 Ar Oil . . . . . . . . . . . . . . . if IN\ L) -SS j ca S e In e"I"it w i'l 7 iy P, 'R. -e. Belcker Ow -A e r. - Ph 6.79 -Z7Zy� v4 a U) U. d CA ELI cr a- 7 - LA P-1 73 04 CY LU f ri, LU v J Q. v4 a U) U. d CA �_, a- 7 - LA P-1 73 04 J LU f ri, CA �_, a- - `� J f ri, LU v J Q.