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HomeMy WebLinkAbout056-320-030 (2)' . | / / / �~~~ n-�� ' N-----------'--�------ ------ - ' ----------- '-�- ' --� - 56-32-30 2641-90 V, 1 SCHREUR, Roger & Beverly ?ch(ut ilitie*s/,MH 4)'COMPACTION TEST,,REQsuppopt � � | / ^ _ ^ C� M �� �i�. i d.xS 260+0-90B,E i 56-32=30.-__ i SCHREUR,•Beverly & Roger 16772 Homeplace Loop, Forest Ranch (garage) e- CA wcAev5 S � & y 1p Se�� C" -6 t SC -I U.0— q 0-� elw4"C, o ►� OFFICVE COPY i Address GAS -Date Meter BY ELECTRICf-% Z_.��qb a; eter By�aie_ Me- — 612), �" ' OFFICE COPY a 1 AddressI (0 G AS q -q/ Meter By ` Date I ELECTRIC pate • � Meter BY ;JOB FINALED (Date)— Signature Ch" , CER�IOf 5 Ch V -C U r �ex- Q 13eved /_ 2� y y`\"'ITE OF TIM E k . P. �k 5 to 3 Z-30 _ P. VD 14 o -90 'AIT.0 zCONFORMANCE /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIF/ES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture' has been at our plant in Riddle, OR , which plant has a quality control system approved by the inspection Bureau of the AMERICAN. INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME: • i. r JOB LOCATION: Redding, CA 8654 8/31/90 19441 CUSTOMER'S ORDER NO. DATE MFGR'S ORDER NO. Members have also been manufactured to the more restrictive provisions of PS 56-73.?q �y SIGNATURE 1 /y� �`�"�' COMPANY Riddle Laminators TITLE Quality Contr"ESS Riddle, OR DATE Sept. 13, 1990 AI TC HEREB Y CERTIFIES that the said company at its said,plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark'in respect' r of products which comply with applicable provisions of said Standard, that the adequacy of the quality. ` control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard t and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC Certificate No. 66724 A 1. , AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECEIVED SEP 2 1 1990 KELLER LBR. SALES © 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION s- Thenlularn members of the iob covered by this certificate are stamped with one of the of following type quality marks. Each qualified plant has an individual qualification designation. The designation "P-143" shown on the typical quality marks below is not assigned to any plant and is used only for the purpose of illustration, A TYPICAL CUSTOM PR .. ODUCT QUALITY MARK A I I P I P-143 AITC designation of qualified licensed plant h4 -1T11 -'T 1T191t,:":0UAL1TT:: 1_`\ ANSA/AITC NSPECTED- EV - A190.-1-1983 Indicates �that -the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC Indicates conformance to ANSI/AITC A190.1-1983, Structural Glued Lamin- ated Timber A TYPICAL NON-CUST'09 PRODUCT QUALITY MARK 1dent ficabn 64 'structural ctural use, desig- . qated by.syfnbQls: .r, r B—sim0I'e_'_'sp'ani bjndlng member; C— compr�es . i member; T—tension mem- ber: CB—'continuous or, cantilever span bencligg member - - -ARCH USE I Designates appearance grade. IND— P-143 Industrial. . ARCH—Architectural. PREM—Premium SPEC I ES t AITC designation of qualified, licensed .'c plant a nd wet -use `adhesives. When ` J I dry -Use adhesives are,,used, the letter QuAiLITY, D.i1s'ad4eV' qy: 000-00 OOF-XX VINSPECTED, I 1.�.l Y, Name of wood'species used INSPECTED` "A 'C"�'Y� D,-.,—,, -ANAITC 'SI/ A 190.1-1983 applicable AITC laminating pecif combination symbol; s ication anY co�� for exampid:`117-85, 24F -V3". Indicates that the designated licensed plant Indicates conformance to ANSI/AITC has met' fall ,-requirements • for qualification A1*90.1—.1983, Structural Glued Lamin - and maintains an `acceptable quality control ated Timber system which is periodically inspected by :AITC ® For custom products, the details covering the pro&16�� sire included in applicable documents.. For custom products, essential details are included,on.;the sta p. M .a'r3tw_.,r.r�-:.. r •.:,-'- ..t .... t+Y sf,... o: y ;.a., ^"ry .�yT 5 r .� "'�_ `'"ti" •-. t.. ..... ...'+.• .. , ., .�.�-� COUNTY OF BU?TTE,1'�' g " i . DEPARTMENT OF PUBbC- WORKS i V. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle'-5•P.hone: 538-7541 �- 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE r .t OWNER PERMI-T, NO. I ! A routine inspection indicates that the following violations of County Ordinance *` exist at the above address and should be corrected. Please notifyt this office when corre tion of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. .-r f r �+ i S rte. " t k U Date—Q_—�- a/�_ Inspect pr/n �( At COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS :. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone:'538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE E PERMIT NO. 0' 1 A'voutine 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. Date 11 Ott Inspector �� _ J=OK O = Not OK - = Not Applicable c = Not Ready ` MO.BILE g� !'7®MES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity;.Location-Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE 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 w � MISCIELLAIVEOUS Date DECK OVERS, CARP S GAR ES, QjtgOK except #'s r._ /- onja§ Require ts_-Setba s -Ease nts J' 7i-7 ,'V2,.-,ISotings; Soils-Sie4Depth-SpaOFFg-Connectors-Sfedi -0'#-'f f-Vfiji 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3z.,4 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alu wn.; Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7. Eleswc rmg; Sils-Anchors-Studs- rs-Trusses 9. Sidi , Nailing -Veneer -Stucco -Mesh 1 Dr< WrShthg-lioofing . Ext.; Steps -Doors -Landings - 3441 U - rc _ 1 /.4 -YA Lwd6� DateCard B- IJ 6 Date 7-/9-174) Card B-1 �V Date 5-3`q( Card B-1 6-'3-gj Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 sj J `'OK ,0,= Not OK = Not Applicable = Not Ready RESIDENTIAL (Single•& Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or 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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41, Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be mad 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. Jnfiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ 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; PIbg.-Appliance-Firep lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) r v COUNTY OF BUTTE - DEPARTMENT GF PUBLIC WORKS .. 7 County Cuter Drive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 56-32-30 ZONING — BUILDING PERMIT OWNER ever & TELEPHONE _ 3770 SO. FT. OCC. BUILDING VALUATION nn q12 M OWNER'S AILING ADDRESS P _ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$12,768.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $98.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $49.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $157.75 PLUMBING PERMIT Filing Fee •10.00 Each Trap . a 2.00 jJp Solar or heat pu water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 ' Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF WORK New® Addition ❑ Remodel❑ Utilities❑ Installation❑ Other❑ Detached Garage Describe work: e — Permit Fee $ 17 Contractor ' ELECTRICAL PERMIT Fi.lingFee 10.00 Main service 1,001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ®300 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..6 OR ADDNS. ACC. SLOGS. I 2/,Osgft NEW CONSTR. ULTI.OUTLET NO N•R E SID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS a� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BA50 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $32.80 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you 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 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 agains said Count in c nsequence of the granting of this permit. X Date 0 Signature of A J ant – Ownerg. Contractor ❑ Agent An OSHA perm) is required for excavations over 5'0" deep and demolition or construct-. .ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE cl t $—�—nr) rr HAZ CUA PARK SCHL FLD PAADH Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date �[ �' Receipt No. 70238 , T' o��� Q WNIT�E•D. P. W., L �; I OR, PINK -INSPECTOR; GOLDENROD -APPLICANT �YL�`•�ykr''�'7...,N.�:�1�'•.-r�r+:.r..!'� �+r'+'�^ �i}��i'�'^1�Y� 1,L �- -'i• ."v C� '.t�i'+'_dl�C` �'?`' ti '•' ' ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQVIL-icE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 '} PERMIT APPLICATION DATA SHEET Permit No. � _ OWNER /�UC�� V�i�L�7 �JG'�'�%2�iaA- A. P. No. -- Proposed Building Use ! 6L)e Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent fo'r Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate(required prior to plan check) 9. bilehome installation data including manufacturer's installation instructions. ................................................ 10 Fees of $ 1—�1� ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School Distrrt fees paid ............... �4. Sanitation approval from G A - C O Hearth Department 9 0 15. City of Chico plumbing permit .................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ` 25. Letter of signature authorization ................................... A 26. : 27. When ou issue theerm-3 it, process as follows: Mai l^to oow�ner. Mail to contractor. Telephone—W-3 and hold for pickup at -_office. Deliver w/inspector. Other 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 submitte 1. Index permit for above items No. 2. Additional items required: to Xer,t issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance �'C.i., v ey✓ /J o .� �e D 12 c e lP AP# Owner Location Plan Approved for: Hold .final for:. Final clearance O.K. for: Sewaae.Disposal Water Supply Clearance for bedroom mobile home. Other Iz x ' U NOTE ,e s Water Supply pati Water Supply Date Sanitarian 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 6 — 3 z — ZONING �A M BUILDING PERMIT OWNER /`D ^ n ELEPHONE SO. FT. OCC. BUILDING VALUAT N 474— O wN E R�$, M�ILI b� D/RYcE7 •� ^Q/L ) ��� `may// CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS _. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ � ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ u Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS�„/% Permit fee $ PLUMBING PERMIT" Filing Fee 10.00 j �(/�/✓/ •//�� 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 i USE OF STRUCTURES Q /� SF ❑ Duplex❑ Mobilehome❑ Other C�J�/G�/ �/ SPECIFY Gas piping system 1 - 5 outlets 5.00 1 Building sewer - 5.00 110-00 Mobile Home I S I G W eal i TYPE OF WORK NewldJ Addition ❑ Remodel❑ Utilities Installation❑ Other❑ Describ\\e work: ��� , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): -, ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business, and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason - NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. SLOGS.21/2 , 7 /Z2sgft PpR, NEW CONSTR. ULT' -OUTLET NON-P.ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ( Ex. Occup\OUTLETS OR FIXTURES 20030e 9AL@ 30¢ FIXED PR EX. Occup. OUTLETS (RESID IEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.b0 Misc. Wiring 15.00 Permit Fee $ 3,2, 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Perm it 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 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 $ occ CONST TYPE TOTAL FEE $ �or HAz CUA I PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ tne applicable provi- resolutions to do have been paid. WORKS Date Receipt No. COUNTY OF BUTTE - Department of Public Works 7 County Center•Dtive, 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. %i 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) h ty_ 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 Tvoe of Work kS igned : // 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 per- mitted to issue the permit. 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS IT -EMS V LOOK OUT FOR (CONY D) - we ee s Sec. 4706). Proper-roof.pitch for roof.covering (Chapter. 32): 6. of covering type-.(fire-�tazard).. +ter ties bearing ridge beam. age door or porch` header sizes. ! 9Adequate bracing. ge - complete 1 -hour separation required on garage side including supporting .walls and posts, etc. ��—C story dwellings (Sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). oor.access and ventilation (Sec. 2516). 14. om us i fuel burning appliances. 1 o' n duplexes. C,3i .,1. pecia foundation .design. 1-, ---o ---- --z------o -csi n. 1 a shape, size, or split level house requiring lateral design. 1 ashing at all exterior openings. /� / po i 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER SC / C7,z A. P. # `-- _7 -?c) GENERAL �! oning requirements: (sideyards 'ation. Plans signed by designer. y. Items on data sheet. and number of permitted living units). PTOTTPPLAN I! Complete parcel. size and dimensions. a----S-etbacks, sideyards, easements, ngs or s . f r�`lrai naRP Flood hazard. n. creation Q— �' Az- �c-v� n � r n �l c •2�� .R . FLOOR PLAN etc. map or compliance document. Complete to scale plan with dimensions. 2. windows for light and ventilation (Sec. 1205). red windows for second exit (Sec. 1204). C�'7+T1`s'�GCi-d 1J l.�l. ) . C. Sec. 1207). s in baas, -ga d exerio antr outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. cal or ltjl�- 3'0" exterior exit door (Sec. 3304(e)). ve location, alcoves, and clearance. 1 (Sec. 1210). STRUCTURAL DETAILS I-.- `Foundation plan complete enough to construct building. uction details complete enough to construct building. r�, r�eevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 5. cion details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR landings, rise and run, head clearance, handrails (Sec. 3306). (Sec. 1711 & 3306(j)). 3. B�e - CC---��hapter 30) . 11 w ReSIDENTIAL 56-3T--63 2639-90B SCHREUR, Beverly & Roger 16772 Homeplace Loop, Forest Ranch (MH on perm fndn) did aA-L k. DE ING UTILITY e I Address 1&77 ;t GAS 6�—? Meter By Date / I ELECTRIC Meter By ---n-2— Date JOB FINALE Signature J=OK O=Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Lodation-Test-Fall-C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" It. / /"Nat. or/ PV'ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card 8,1 Date / Card B-1 MH icity; MH Test -C I— MH Test -Fall -FI MH Test-Regul A_Walerjand Sewer Connected-C/Orlo- Grade -HD Approval &-Gas and Electricity Tagged it sp.-Sketch 1&rt. of Occupancy Date ]- N 1qj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 S,1,6 po/�Ij CXO-10 10-A- /i X MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable ' =Not Ready RESIDENTIAL (Single ' & Duplex) , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings - 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector- .. In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes 11 No; Planters 11 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card 8-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made r R VENTIAV 56-32-30 2641-90P,E SCHREUR, Roger & Beverly 16712 Homeplace Loop, Forest Ranch (utilities/MH) JOS FINALE Signature J=OK O = Not Not OK MOBILE C t 1 Com+ =NotReadyab� AVi�SILE if7®16�ES MH OK except #'s Needed -)".'Gas; Location -TWE -W04: / /" L" ft. / /"Nat. or/ P'L"ft./vl"� -QQC) OL.'s'e Utility Clearance 4-0 dtbidwa Date 913 9O Card B-1 1--1(0 gj Date uz Z. Card B-1 Date Card B-1 (/45 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except it's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricitv: 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. CV. of Occupancy Date9 /y1/d Card B-1 U " .' Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric . 8. Frmq: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) - Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel r 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes O No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be mac Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes 0 No; Planters O Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE' ' DEPARTMENT OF PUBLIC WORKS ;� COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 Address or loc Owner's name Owner's addre PERMIT NO, cPG39' /�0 Insignia or hud number R.r A 573331 Voc-j S-73332-- Manufacturer's name Cw(kA b C a5qQVD w4 �y Serial n mber of V -1-:N. �'�C9� 5E/Y� tIV� Year of man a �u/r 79 (Official Approving Installation) (.Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION_ .-' ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE'. MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PEtRT NO. + •7 Count (?,snter Drive - Oroville, California 95965 - Telephone: 916/538-7541 � _ Ira APPUCATIQN AND PERMIT . ASSESSOR PARCEL NUMBER 56-320-030 1 ZONING TM -5 ' BUILDING PERMIT OWNER Roger E. Schreur & Beverly Schreur 91 TELEPHONE 893-3770 SQ. FT. OCC. BUILDING VALUATION 1 683 67 320.00 OWNER'S MAILING ADDRESS P.O. Box 745, Forest Ranch CA 95942 CONTRACTOR'SNAME Owner TELEPHONE r CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER Clarence Schreur UNKNOWN Total Valuation $67,320.00 Filing Fee$ • 10.00 LENDER'S MAILING ADDRESS' 32101 Forest Lane, Fort Bragg 95437 Permit Fee $168.50 . ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 84.`25 Energy Plan Checking Fee E$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - - Penalty $ BUILDING ADDRESS Permit fee $262.75 PLUMBING PERMIT Filing Fee 10.00 16772 Home lace Loop, Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP p g�77 Water -piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation® Other ❑ Describe work: 3 Bedroom MH on Perm. Foundation Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov 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): FJI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft NEW,CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS &)- (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES aALO 30 FIXED EX. Occup. OUTLETS P(RESIO.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 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 consequence of the granting of this permit. X Date Signature of Ap ant — Owner Contractor ❑ Age ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC . CONST TYPE & I TOTAL FEE $ 2.75 HAZ CUA PARK sCH FL PA P Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMI XPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date ?- ;r Receipt No. 70238 A& & Q WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �, .;tri: '�iy::�-L_,-- �� �--'��=..�rvi,ftp-...,7'�'��=.fi;%``'�'�.+r`r«.r;.� . �'ii �-� y 1���``� r t �" �r� 'gin.•• t , i1;y !� �.rf'� COUNTY OF BUTTE - DEPARTM6Ni'OF PUBLIC WOA'-KS - BUILDING DIVISION i" 7 COUNTY OENTER DRIVE - Ofj" ILL ; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. - 5 o. OWNER �` QG li g V Eye—a SGI4 REVI -'-A. P o. �6 3 Z A ` 7Proposed Building Use /v/ %�� Building Inspector Date h At time of permit application, I was advised the following datwmust be submitted prior to permit processing acid/or issuance: fDATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in is /triplicate, signed by preparer of plans........ 3 !U 3 Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ...... .................................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ngineered truss details and layout in duplicate (required prior to plan check) bilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... ' 12. Park fee paid ..................................... .. ........... -o School District fees paid .............. uAazyo Sanitation approval from Health Department 15. City of Chico plumbing permit ................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 4 21. Contractor's license information (No., Name Style, Classifications ... 22 Certificate of Workmans,Compensation Insurance .................. ,43 -,,Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... s Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of sin, ature authoriza ' n 7 $ Whe�n�°u issue the permit, process --as follows: Ma'' to owner. ` 'Mail to contractor. t/ Telephone n 7 -3 3/" wand hold for pickup at office;. Deliver w/inspector �t , r er . r � to ,> See, ZZ`x' A p is nt Date �l Copy of Haz-Mat foram sent Health Dept. Fire ,Dept. air Pollution Date "Copy of plans sent Health Dept. -. Fire De'pt.'Other Date By. The following data must be submitted i to per nit iua ce: ( 'r a ew item not checked above). •1. Index permit for above items No. 2. Additional items required: Contractor, designer, o r, was advised of above required data by_phone__nail—counter by dateg—.6 :::!J! d Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date v TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 772 - owner locatiorf AP # Driveway permit s?ohe �'�`�� has been issued for the above property. sib ature date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ �_ ��� - ZONM Lam- BUILDING PERMIT 0 NER \^ /1TELEPHOy7NE ewe SO. FT. OCC. BUILDING VALUATION OW 'S (LING ADDRESS D Y ' C T LEPHONE CONTRACTOR'S MAILLIIIN-•GIAADURESS Fireplace CONS RUCTION LENDER e v— S"r v!' UNKNOWN Total Valuation $ - Filing Fee $ 10.00 LENDER'S MATLING ADDRESS Sam/ F 12, &!J- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A DRESS / `_^ ' h� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �0/L Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomew Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I Oe TYPE OF WORK NevAddition ❑ Remod 1 ❑ Utilities ❑ Installationg Other ❑ Describe work: _ 221 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code - for this reason NEW CONST.(DWELLING 0CCUP.8, OR ADDNS. ACC. BLDG -S.- I 2/2 QSq ft NEW CONSTR. MULTI -OUTLET NO N•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occ Up(OUTLETS OR FIXTURES 0 2@30C 9AL®3o FIXED Ex. Occup. OUTLETS PIR ESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating' Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I 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 .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 $ occ CONST TYPE TOTAL FEE $ b ALSCHL HAz CUA PARK FLD PAR PD HD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees ' DIRECTOR OF PUBLIC By �r PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date / r Receipt No. Q w S{ WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF'BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 _ Phone: 916-538-7541 OWNER -BUILDER VERIFICATION .Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information. at your.earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit ,will be issued until this verification is received. 1. I personally plan to provide the major labor and -materials for construction of the proposed property improvement (yes or no) Y2. 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.J 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 ' r Signed: Property.Owner Social ecurity Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Heal.thf and Safety Code.. This verification must be completed and returned to our office before we are per-, mitted to issue the permit. .b+^'}`'r'�;.�(i'1f 4'�.,s h`�r: Kph%.ai�M'""•`}'k7f,."�'�!'^"�'en^'f�i's..igf .X3M;� BUTTE COUNTY, SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form- per Building) A.P. Number 5t0 -32.O'" 30Building Department No. School SDistrictt,h) e_n onTle_d ICity [:] County V] Jurisdiction Property Owner 8Q _r ho -t- "/ K -61( )r - Project Location/Address Uo-1 7- AnI'1'1F'_oince �4 nng Subdivision Lot Number Z1 Residential Development: � � F-1 S Sq. Footage f� #-of Living- MHI Addition (Group R) Units t Commercial/Industrial: a Sq. Footage New Addition (Including Exterior R f d A w- oo a reas ) ..� 70 uildin Dep tment Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that P 3-3770 ` Applicant Name) (Phone Number) "%`%b (Street Address) (City) (State) (Zip Code) has complied with the -requirements of Resolution No. AD by the pay ent of $ 91/%,representing 1 �Q square feet. School Dis ri-t Representative Dake PAID BY CHECK NO. � REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �• APP'L'ICATION AND PERMIT PERMIT 0. ASSESSOR'PARCEL NUMBER 56-320-30TM-5 ZONING BUILDING PERM OWNER _ Roger & Beyerl Sc r TELEPHONE 893-3770 SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS P.O. Box 745 Forest Ranch 2 CONTRACTOR'S NAME - Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Flling Fee $ 49:09 -LENDER'S MAILING ADDRESS 32101 Fore -,t ane, Eart 'Bragg 95417 Permit Fee $ _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $15,00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.S NAME . PARCEL MAP yUBDIVISION O P -- ? Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: MHU _ Permit Fee $40.00 - Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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.(DWELING OCCUP.5i` ACC. BLDGS. I OR ADDNS. L 2/20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2oQ30C 30f. FIXED Ex. Occup. OUTLETS P(RESI D.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 7.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): . ❑ 'The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you 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 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 agains said Coun y in consequence'of the granting of this permit. /� X Date / Z Signature of A icant — Owner N. Contractor ❑ Agent An OSHA permit id required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCc CONST TYPE TOTAL FEE $ .50 HAz I CUA I PARK I scl FL PAR D D ISSUE This permit is nereby issued under sioris of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC r B I PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1130 2 �3�'_ .- 70238 Imo, j ', 11„3=C�,-�r,_o $ Receipt No. - WHITE -D. P. W., YELLOW -ASSESS OR. PINK -INSPECTOR, GOLDENROD -APPLICANT IR ..1 � � •y�y •.Y�*ff.-s![r e- .' .._,� o.;�d+Dc �.'.-"'�'. '.�r .-"'' �._..� `� LTi "'T' :_ y, ,f; .ti..�•.�'I'�`Y � .+�.-1-i `�'r� L`1`�'�'19-�'t7�;-r.#' .(�+r-•�l:-v'T�"`iw`"�t7'`�y,F��'-iY�ca,�Y�'�`,r�r��.�j_, ,�'-.p,�i�,�,y}t��T'��,i y,r•� ^-`t-c-fir . COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS -BUILDING 7 COLINTYdCENTER DRIVEY OR VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ria-.,�; �,--:,,•Yt,•. +t,';�J.•.�.%. _ DIVISION Permit No. OWNER D G %Z- 11J J Gs v/C.� A. No. J Proposed Building Use �% 11 t Building Inspector Date At time of permit application, I was advised the following data.must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ... .................. _' 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs; with wet signature on plans .. 5. Hazardous Material Form ........ t ................................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 4. Sanitation approval from �-1�t� �Z� Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy)?O-W r 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 2� Owner -Builder Verification (Given to owner ❑, Mail to owner 11)O�Z::::: 24. Recorded copy of Agricultural Acknowledgment Statement .. ' `6 -q 0 25. Letter of signature authorization ................................... 26. 27. When y issue the permit, rocess as follows: Mail o er. Mail to contractor. (./ Telephone -% 3%%and hold for pickup at office. Deliver w. /inspector. rlthpr 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 priorpermit issuance: (Circle new item not checked above). 1. Index permit for above items No. -lss U C- 7r), X19 '- ? 0 2. Additional items required: ( 1/Y`/ Pe rrn 1:, Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal I counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet�/AP, qoI errs —Date Uy Copy-DPW''br'+' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - PERMIT NO. 7 County Center Drive - Oroyille, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER I . . 6 1 ..­ � _j . , . - BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER- UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee A ; RCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 -E] Duplex❑ MobilehomeX Other SPECIFY TYPE OF WORK New ❑ -Addition 1:1 Remoddno Utilities InstallationO Other' ❑ Describe wwork:Contractor Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 47f OW 10-00 e Permit Fee - ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service j00 AMP ORLESS LESS 10.00 (,9, 00' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): t E] 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 Fl 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 EA. ADO -L 100 AMP 2.50 C, NEW CONST. ( DWELLING OCCUPM OR AODNS. ACC. BLDGS. �1/20sqft NEW CONSTR. MULTI -OUT _T F NON-RESID. BRANCH CIRC L(POWER 12.50 ea 7 APPARATUS SINGLE OUTLET CIR.&) Ex. Occup(OU.TLETS OR FIXTURES '0050t 1,2 ALO 30c OCCUP. FIXED APLNS. % EX. OUTLETS fP.RESID.)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 Hood 3.00 Ventilation _T 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 Countyo . t Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnity 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 Signature of Applicant Owner El Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. I Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE $ HAZ I CUA I PARK I SCHL I FLO T Ho issuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT FYPVRI=q n.t. the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ­.. I ........ COUNTY OF BUTTH-�•Deaartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION .Attention Property Owner: Phone: 916-538-754.1 ;..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) C S 2. I (have/have not) 2S 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 A' to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. .,.-1 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 per- mitted to issue the permit. ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO �,ODOLJ PG 4b6� >To 19 Al.l that real property situate in the County of Butte, State of California, de:�cri.bed cis fol.l.ows: SEE ATTACHED LEGAL DESCRIPTION Date: July 27, 1990 PROPERTY OWNERS: BEVERLypt/ SCHREUR State of California On this the 27th day of July , 1990 I,c.furc nic, SS. the undersigned Notary Public, personally appeared County of Butte ) Beverly J. Schreur OFFICIAL SEAL - -• TAMI BARLOW Personall y known to mu. Ox Proved to me on the 1) Iis.i s NOTARYPUBLIC- CALIFORNIA of satisfactory evade nc:e . PRINCIPAL OFFICE IN to be the person(s) whose name(s) is BUTTE COUNTY My Commission Expires October 24,1992 c subscribed to the within instrument and acknowledged that. she allauuelaronnemunlurmr�nllruuunnamaununumm,j3executed the same for the purposes thetein contained. TN W.f.TNI SS WHEREOF, I hereunto set Illy hand and official seal-. Present A.P. No. 056=3T2=030-7 Notary Publ-ic Tami Barlow 124o fleturn to DPW "-AGRICULTURAL STATEMENT OE -.ACKNOWLEDGEMENT .Z FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior. to issuance of a building permit. , The pr.opert.v described herein is adjacent 90-032231: 1 Rec Fee 7.00 1 7.00 j to land or included within an area zoned k Check for �.Igr.i.CLII.t..ur.al. purposes, and residents 1 Recorded • 'Records. 1 of this property mr:Iy be suh..ject to incon- Offi.ciad 1 ven i.encos or d iscomfurt arising from the County of � . u_;e of agr.:icu1.1.ura.1 chemicals, including, Butte but not l.imiLed to herbicides, pesticides, Candace J. Grubbs 1 , and f-erl.J l.izers; and from the pursuit Recorder ,' 1 of agr.i.cu.l Lural operations including, . 9:43am 30-Ju.l'=90 1 . CD 2. but not: lim:ii:cd to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ.i.shed zagrk ul- Lural zones which have as a priority use for productive agricultural. purposes, land r.es.i.dew s within said zones and on adjacent property should be prepared to accept such i ru onveLl i.encc ori discomfort from normal, necessary farm operations. Al.l that real property situate in the County of Butte, State of California, de:�cri.bed cis fol.l.ows: SEE ATTACHED LEGAL DESCRIPTION Date: July 27, 1990 PROPERTY OWNERS: BEVERLypt/ SCHREUR State of California On this the 27th day of July , 1990 I,c.furc nic, SS. the undersigned Notary Public, personally appeared County of Butte ) Beverly J. Schreur OFFICIAL SEAL - -• TAMI BARLOW Personall y known to mu. Ox Proved to me on the 1) Iis.i s NOTARYPUBLIC- CALIFORNIA of satisfactory evade nc:e . PRINCIPAL OFFICE IN to be the person(s) whose name(s) is BUTTE COUNTY My Commission Expires October 24,1992 c subscribed to the within instrument and acknowledged that. she allauuelaronnemunlurmr�nllruuunnamaununumm,j3executed the same for the purposes thetein contained. TN W.f.TNI SS WHEREOF, I hereunto set Illy hand and official seal-. Present A.P. No. 056=3T2=030-7 Notary Publ-ic Tami Barlow • 5.� .a �t t k � . s =`DESCRIPTIONS fl 3.2231 ORDER NO. BU -114445 TB .o ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS.: PARCEL I•. PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 24, 1982, IN BOOK 88 OF MAPS, AT PAGE(S) 77. RESERVING THEREFROM A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES AS SHOWN ON SAID MAP. PARCEL II: A' NON=EXCLUSIVE PUBLIC EASEMENT OVER HOMEPLACE LOOP 'FOR ,INGRESS AND EGRESS AND FOR PUBLIC UTILITIES, AS SHOWN ON THAT''CERTAIN) PARCEL MAP, RECORDED IN THE .OFFICE OF THE RECORDER OF THE COUNTY:':, OF BUTTE, .STATE OF CALIFORNIA," ON JUNE 24, 1982, IN . BOOK 88 OF, MAPS, AT PAGE(S) 77. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS ­OF PARCEL -I, DESCRIBED HEREIN. PARCEL'III• A NON—EXCLUSIVE PUBLIC. EASEMENT FOR INGRESS AND EGRESS —AND-y,FOR PUBLIC UTILITIES OVER PARCEL 1, AS SHOWN ON THAT. CERTAIN PARCE'L,_. MAP, -RECORDED . IN THE OFFICE OF ,. THE RECORDER . OF ::.THE COUNTY47.OF177 l>< BUTTE, STATE OF CALIFORNIA, ON JULY 7, 1980, IN BOOK 77 OF MAPS, AT PAGE(S)-33.,. PARCEL IV: A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES OVER PARCEL 10, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY. OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 82, 83 AND 84. PAGE 4 ENC OF DOCUMENT s APO WHEN RECORDED MAIL TO: WK Dept of Public Works ADDRESS (Attn: Bldg Dept) txrr, 7 County Center Dr. STATE, Oroville, CA 95965 ,ed a a O9 1 1 91—O1A091 F Total .00 1• Recorded- 1 -Official Recorde 1 County of I Butte Candace, J. Grubbe 1- ,Recorder. 1' 1 1:08pm.- 8 -May -91 1 XX 1 SPACE ABOVE TlgS LIPS USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locai agency indicated is in accordance with California Healtt: and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Knit 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 per- sons thereafter dealing with the real property. Roger & Beverly Schreur REAL PROPERTY OWNER/LESSOR P.O. Box 745 MAILING ADDRESS Forest Ranch Butte CA 95942 CITY COUNTY STATE ZIP 16772 Home Place Loop INSTALLATION MAILING ADDRESS, IF DIFFERENT Forest Ranch Butte CA 95942 CITY 'COUNTY STATE ZIP Same UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP Butte Countv Bldg Dent LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr. MAILING ADDRESS Oroville Butte CA 95A65 CITY COUNTY STATE ZIP 2639-90 916-538-7541 BU L NG IT NO. TELEPHONE NUMBER 1/16/91 S A URE OF IOCAL.AGENCY DATE one DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. UNIT,DESCRIPTION Golden West Sept. 1990 BD661W4 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CABD8548 A&B 66' X 26' RAn57*1331 & 57'1449 SERIAL NUMBER(S) LENGTH X WID INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 056-320-030 PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFTCF nF THF 2F'CQgpER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 24, 1982, IN BOOK 88 OF MAPS, AT PAGE 77. HCD FORM 433(A) 4/86 .. � PP,s►,E„T Or NODS O�yLHITY OEC O EN® OF DOCUMENT x _ ms u CIII Oj o Ul O C_ . +AT r CCU .h C IAI B RMI? NO. 2639-90 Address or Location of nc)16772 HOME PLACE LOOP,-FOREST RANC', 5CA2 LegcJ D—riProperty twn of Real Prop�rtp PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL—MAP' RECORDED A' Ti1E OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 24,•-1982, IN BOOK 88 OF MAPS AT PAG; 77 A �Mobilehome/Manufactured HomeaGommercial Coach has been' affixed to the, real property described above by installation on a foundation -system pursuant to Health and Safety .Code Section 18551. Owner's nonw: ROGER & BEVERLY SCHREUR Cwner's,oddress: P.O. BOX 745 FOREST RANCH, CA 95942 INSIGNIA OR HUD NUMBER: RAD573331 & 573332. SERIAL NUMBER OR v.I.N. GW6CABD8548 A&B MANUFACTURER'S NAME G LDEN WZ YEAR OF MANUFACTURE: 1990 .1/16/91 916-538-7541 04= a n x nieoi wn..--o...�, c...�.�.....�.... w�-aro. ra.. .. _ .. . . MAY oe '91 08 41 BUTTE TITLE-CHICOAAAAAAA P.2/2 Alp ` STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �1 DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION r 1 • 1 STATEMENT OF FACTS / I I74W w�v This unit is a:� �e Commercial Coach. Floating Home Truck Camper Deca.l.(License) No.(s) Hv� Trade Name Serial No. (s) Oat MW WA -57 66X.26 Ahn X733 w�s�"� 85 �8 RAD 573 I/We, the undersigned, hereby state that the unit described above: :r S h - 1V,E W *WA#RAAL07'11X FD i�0A1 pl/,�Cf1/�St`� /rQE�TL Y FRDA1 rNE . FI�C?DI�Y /N S�CR�/Jy�i�'%O �iJY� hi s /YoT BSN R�P�vioasL Y AVAeS'D ' .oJ+r �wY oYi1�i2 P,�aP��T'y Affiant further agrees -to indemnify and. save' harmless"the Director of Housing and Community Development, State of California, and subsequent purchasers of said•unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on /i,#Y- 8,X99/ at CRAY tv41maxw# Date (City) (State) tures of eac .a iant Address V IlAd, Nor 7f,.57 Printed name of each affiant' eEy460t Y Nome 's City ToRE%T RAW11/ tom. , State C �. HCO 476.6 (Rev 11/86). tidCR (No Carbon Required) LAND PURCHASE AGREEMENT BEVERLY JOYCE SC�HREUR ROGER EDWARD St: HNEUR . an d forth below as DEPOSIT on account of the RECEIVEDD FROFMA �'natcdes��nat asB 1(F un ei _ — — hustiand an wifie �`her�ttUU5f�ivlledr 1VER t e r:�sll— — (DOLLARS), PURCHASE PRICE of $_F �E �pE EDEU ' for the real property in the City Ql County of ——(t— _ ..r . tt_t ► desC,r 8d a cons'b�1a��Jxa1Tb 1T7�TE—FI �.i1���'sg0�' t��RL�� At— t- upon the following TERMS and CONDITIONS: 1, FINANCIAL LCERMS. Sol ( )CI DEPOSIT evidenced by = Cash, = Cashiers Check, Q N NiI'I I ������e�'I - M, t -A. S ('' to be deposited within one (1) business day of acceptance, and escrow opened dahs of acceptance, 0 upon removal of all 1-B. S ADDITIONAL CASH DEPOSIT to be placed in escrow [=within Y contingencies. 1-C. $ 34,00 t � ' t)t � BALANCE OF CASH PAYMENT AT CLOSE OF ESCROW. - 1-D. S BONDS OR ASSESSMENTS of record if assumed by Buyer. ADDITIONAL FINANCING:. 1 . 1 1-F. a 3`} , 5011-:10 1 ' 1-:10 TOTAL PURCHASE PRICE (not including closing costs). Any net differences between the approximate balances of encumbrances and the actual balances of said encumbrances at close of escrow shown above, which are to be assumed or taken subject to, shall be adjusted in = Cash, Q Other: Z, aQT Tf iaSE=F TITLE AS "HUSBAND & WIFE AS JOINT TENANTS". 3. ADDENDA. The following addenda are attached hereto. (� Form 421-A, ADDENDUM TO LAND PURCHASE AGREEMENT (Subordination, partial Reconveyances) Form lo9.phM3offlU"ATUTAb!LAIRWDMF.C:HASE At3PEEMEN'T" Q OTHER: —�• calendar days of acceptance, whichever is later, both parties shall deposit with 4. CLOSING. Onorbefore ^or within to an authorized Escrow Holder to be selected by = B,udyer,ose= Seller, of l funds a Instrunlations and waments ryantcomplete ng s termi terminated conveyance of the �JA& t�9�R ��fLLL� hereof. Until then, Buyer, Seller, a a .Documentary transfer tax, it any, to be paid by F(At�—Et(jY-E , property. Escrow fee to be paid by paid by S. EVIDENCE OF TITLE in the form of 0 a policy of Title Insurance, Q Other and Seller acknowledge that [ 1 6. BROKER REPRESENTING BOTH PARTIES. By placing their inils e: Buyer the brokerIn this rtransaction, represents both parties and Buyer and Seller consent thereto. n� agreement on the reverse side. 7, PROVISIONS ON THE RE 1 E. The provisions checked belov�9��fY��� A. SOIL TESTS, witf�{s,U�,FH{SEF dTi3 °ft�Tvfjpalrl'Jf?'dEMA ba MEP $F'ed I BEH—e Oa a �P Sq K B. SURVEY, paid by EXP1RAZjfONpTt)i� offer shall expire unless a copy hereol with S"1 4eyrile8 cceft _)s delivered to the Buyer or to his agent on or before AM, = PM, on s1de and acknowledges receipt of a COPY The undersigned Buyer has read this agreement, she has not received ors 7 through 14 on the reverse ae ed upon any statements emen s or epr sentat on by the undersigned Agentwhlch are hereof. Buyer acknowledges further"that s/ not he(l%I?'�1�d r BUD r Ml_ NAMAP _ TIME: Buyer Buyer's Broker DED: By Agent O� Buyer Broker's Initials: Dated: ACCEPTANCE herein described property for the price and on the terms Seller accepts the foregoing offer and agrees to sell the and conditions herein specified. Subject to: COMMISSION.. Seller hereby irrevocably assigns and agrees to pay to the Broker in this transaction, In Cash from proceeds at close of escrow, for services rendered: he commission In the event that Buyer defaults and fails to complete the sale, the Broker ommallbssionitled iroml one-halfreceive ut not more than Buyer. The mutue al Buyer's sson of thOs agreement teemenl by Buyer Seller shall earned, without prejudice to Brokers rights to recover the balance of the c not relieve said parties of their obligations to Broker hereunder. This agreement shall not limit the rights of Broker provided for in any listing or other agreement which may be in effect between Seller and Broker, except that the amount of the commission shall be as specified herein. The undersigned Seller hereby acknowledges receipt of a copy hereof and authorizes Broker to deliver a sig copy to Buyer. Seller's Broker DATED: TIME: Seller By Broker's Initials: _. Dated: The undersigned Buyer hereby acknowledges receipt of a copy of the accepted agreement. DATE: _ TIME: -4 (3-89) COPYRIGHT ® 1985, BY PROFESSIONAL PUBLISHING CORP. 122PAULDR. SANRAFAEL, CA 94903 (415)472-1964 r Seller Buyer PROpESSi�"' N PUo' O 1*1,kk%,k;WgJil. 11 LOU 6533 Skyway rt Pdradise, 01 95969 - ' - (91 G) 877=6541 ' HCD # 407 Conlmc-tor'n License # 289714 L355096 NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT DATE: 7 —1 PURCHASER: PHONE:8 9 3-37 7 0 ADDRESS: P n 7 G S _ q 7 SALESPERSON Subject to fhe terms and conditions stated on both ildei of this agireement Se MAKE MODEL S.RoomsAPPRI BRADBURY BRAD.8URY'' 3 t:T�6 SERIAL NUMBER APPROX. a HUD OR HCD NO ,..,� DEL. DATE , : rl i1 tv t r i=. THE COS O THE MFD./MBL. HOME I THE PRICES FOR THESE ITEMS p, _O___1NHEELFIUbS $ n TIRES,�O_AXLES $ dOW BAR WHEELS q5 agieed to sell and Purchaser ag's to purchose the following MFD./MBL Homer h... SITUS J • : , .: .. NOT INC NEW I/EAV' vV.:2� ❑ Us�D ;jy PARCEL 3 /A. P . 567.32797930 DT OF MFG y.;,? ROME PLACE LOOP I. ,�;A FOREST RANCH CA. LIVIN MFD. HOME PRICE $ ITEMIZED ACCESSORIES AND THEIR COSTS .. ._. ,WATERS , , • .:.._: ...._-.. __. .......�...�=--.� '- •� WERE ,p OWER GAS....IS...THB. _ INSTALLATION..,OF-_-HOME, : UTiL'ifiE5. j f - 1 _ RESPONSIBILITY... OF ,_AND_ NtlTI'iPtYCi/- I _• - • ,- - BUYER. TO INSTALL..RVES Ls1 _ +„ ' ...ryi,a _..__._.;.... .......... _ _ .._...........__ ' BUYER TAKING POSSESSION ip....O.Bi 'ti` -NO ,.FAC'1'RY ;WARRANTIES APPLIED . -TO THIS "SAP I 7-18, 1990—ADDED-OPTIONS-• II•NO' DRALEjWARRANTIES-APPLIED To t7" o �1...• . -•• ALDER syABINBT PRG.' -$725.1; UiPGRADkb :-GARP>CT. , -515; �; BVBS --'$782.00 0 c MAKE MODEL TITLE NO. SERIAL AMOUNT OWING TO WHOM: SALES TAX (ITEMS NOT INTEGRAL TO HOME) ; • ' ' ADDRESS/PHONE BEDROOMS VENTILA 1QIM IAENT-NEW ONLY I HAVE RECEIVED NTILATION IMPROVEMENT INFORMATION FOR THIS MFD.LMTL HOME. THE MANUFACTURER STATES THAT INSULATION HAS BEEN INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) TYPE THICKNESS 'R' FACTOR ROOF R 13X -- EXTERIOR WALLS FLOOR INSURANCE REQUEST Purchaser requests the following insurance through the seller and understands that insurance will not be in force unit acceptert by the insurance carrier. WARNING—Unless a chnlgriis include in this Agreement.for Publir Liability or Property Uaninge Insurance, Pay nt.,lor- such Cov6iage is not provided by this agrL lent. r PURCHASER: SURA TYPE LI TERMt $ TYPE MIT i TERM $ TYPE LIMIT TERM =' $ NOTICE: NO ERSON IS REQUIRED A5A tONCrITION PRECEDENT HOME, TO TO FIN AN G THE PURCHASE OF1 /� 'MANUFACL', INSURANCE PUHA RCSE. INSURANCE THROUGH A �P� PARTICULLAR AGENT OR BROKER. THE DEALER CERTIFIES THAT THE INSTALLATION CONTRACTOR NAME BUSINESS ADDRESS. I CA ZIP CITY A Contractor is required by law to be licensed and regulated by the Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827. TOTAL ADDITIONS,:,j• —"""'--- TOTAL NIFG, (TOME $ ADDITIONS: SALES TAX (ITEMS NOT INTEGRAL TO HOME) ; • ' ' $ FOUNDAnON SYSTEM . NOT $ DELIVERY 1, . "E SET,Ufa ' : ` I ` i $ I5'� , ; • FEES c`1 $no HCD ,,.:� iNSURANCE PRENiiUM $ ESCROW FEES k.' SCHOOLFEES $ n I OTHER';` $ DOC. FEE (NOT. A GOVERNMENTAL CHARGE) 1: TOTAL CASH PRICE $ ALLOWANCE ON TRADE-IN $ LESS BAL: DUE ABOVE $ NET ALLOVNANCE: a+ I, $ ,., .. $-;}tie :-9A• Z.�317,00 PAID NEREWITN CASH BEFORE DELI ' ;: , ; $26295.00 DESIGNATEDDEPOSIT'.`:' $ : i, (INC, IN DN. PMT) Z: LESS BUYERS DOWN PAYMENT $ . 3. UNPAID BAL. ON CASH SALES PRICE $ e c nn 4. FINANCE CHARGE 5. ANNUAL PERCENTAGE RATE• 6. TOTAL PAYMENT AMOUNT (3+4) 7. UNPAID BALANCE DUE PRIOR TO DEL. 8: ;TOTAL DEFERRED PAYMENT PRICE (2+6) PAYABLE:ASFOLLOWS: bTtTntr •rn unnt>z In the event the manufactured home cannot be delivered -and/or Inspection cvmP P.-. within the agreed delivery time due to nonperformance by the buyer, buyer agrees to one of the following at the option of seller, either (1) to pay $1 n charges per day until a manufactured home installation acceptance or certificate of occupancy is obtained in addition to all other consideration owing or (2) pay the sum of $ in lieu of totTl :onsideration. _ — -- .— a iry or n IIr ELT• : (A) DO NOT SIGN THE PURGHAbt AUNMr-lvlrIm I Dcr W1.11"•.�•- •• _ SPACES TO BE -FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAT AGREEMENT AND, IF PURCHASING A• MANUFACTURED/ manufactured/mobile HOMshall bE COVERED BY IA iWARRANTY,f it is not ed t COPY OF Ft may b WARRdAto NTlY.D Complaint! concerning the purchase o of Housing and Community Development, Division of Codes and Standards, Occupational Licensing; Post Office Box 31, 5acrarnento, California 95801 (telephon( (800) 952-5275). A failure to disclose pursuant to this section shall riot be the basis foi recission o16 conditional sale contract. The Manufactured Home that I am purchasing will be dsed as a_ residence. I further certify that I understand that if subject Manufactured Home 15 used for am purpose other than.a residence, I may be liable,tid the. State Board b1 E " alii"bn, f thea' 1ne sured by the amount excluded pursuant to this certificate. �: r P .,.. •3• :7�. DATE URCHASER '` RECEIPT OF A FILLED-IN COPY OF THIS AGREEM S HEREBY ACKNOWLEDG B URCHASER Used or resale manufactured homes are sold -as is here is with all faults- and are sold Purchaser certifies that he is of legal age, and agrees to sign a Seward hepary. hale ures on a trade -into without guarantee or warranty of whatsoever kind or nature, except as otherwise set of aManufactu ed or Mobto the ileHome a emorethin.in the event anquotedbythePur haser.thePurchaser. forth in writing. The Pur lase Order is subject to credit approval and is not binding unless signed by an hereby agrees to pay this excess on demand. autl rize representative of seller. '.. L TE AS AI ONDITIONS S FORTH ON 711E REVERSE OF THIS AGREEMENT ARE INCORPORATED HEREIN AND ARE FULLY ' C OLE A OS E ORT T ON .THE FRON SIDE OF THIS AGREEMENT. , SELLE \ ` f PURCHASER: SELLE PURCHASER: nn DATE: t g CFNTATIVF OF Published by Barry D. Whittlesey Publlclilion9 4q35 W.allmrdile t.n, is Carmichnel. CA 95608 • (916) 488.1764 f1mNllliltflltill15,/1/11119 1.; ' .'t •: i i:'; ' • IDENTIAL _ �— 56-32-30 2642-90B - SCHREUR, Beverly & Roger 16772 Homeplace Loop, Forest Ranch. (open deck/MH) JOB FINALE Signature J=OK D = Not OK Not = Not Readyabl . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ '/Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. E ctric rmg; Sils-Anchors-Studs-Rftrs-Trusses SF, 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing . Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable ' =Not Ready RESIDENTIAL (Single & Duplex) , Date UNROW LOOK Plans OK except k's Date FRAMING (Continued) ' oning-Setbacks-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors Soils-Elec. Grnd.-/g/" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. rage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance t ., Porches & Decks; Soils-Steel-/I?/Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ­4_&sar walls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. SI , Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Piers -F' 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date _]_S7b Card B -Myra _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ##'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except f#'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except ##'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except k's 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing • Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made I Z-4PIt` RESQNTiA w �Zf.,�Z"4o 56-32-30 4323-90B SCHREUR, Beverly &Roger 16772.H6meplace-Loop, Forest Ranch (breezeway/mh) q=ok O=Not OK = Not Applicable =Not Ready MOBILE HOMES ' , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date card B-1 Date MOBILE 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Pectric . 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 giC 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 Liqhtinq; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable ' =Not Ready RESIDENTIAL (Single & Duplex) _ Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 7. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls: Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes O No; Walks 11 Yes ❑ No; Planters 0 Yes 11 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing • Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made ~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 56-32-30 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESS P_n CONTRACTOR'S NA ME n (kAf 4,?�- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 700.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 k 98 p. 77 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Breezeway SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New[X Addition❑ Remodel[] Utilities❑ Installation❑ Other E:1 Describe work: Breezeway _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ACDNS. ACC. SLOGS. , /20sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES a2AL@AL03030 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. I also a ree to save, 'nde nify and keep harmless the County of Butte against all li lilies, judgm nt costs, and expenses which may in any way accrue agai s said C my n nsequence of the granting of this permit. X %2 _�� _!�� Date Signor0 of Applic nt – Owner Conrrocrar ❑ Agent ❑ An 0S A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $38.00 E HAZ CUA PARK SCHL PAR PD HD issuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECT R OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 1� — �Z__ ._ Receipt No. 84373 �/ ��dy� y�� WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GO(DDENNRROD-APPLICANT d' ', F'rx+ •,,, r..tY ofti,,(".f'r'y J �klrt>�r"..., , 't �. In "� n .�'rti. t t.'...ri •r �r : i .}..,...�..,,.•,. - �" COUNTY OF BUTTE - DEPARTMENT.OF -PUBLIC' WORKS - BUILDING DIVISION l7 COUNTY CENTER DRIVE - ROVILLE, CALIFORNIA 95965 - TELEPHONII: 916/538-7541 PERMIT APPLICATION DATA SHEET l J Permit No.5"'/ 9Z) At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions 0. Fees of $ x}.50....�;' ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. Scboo 'istrict fees paid ..............- 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... —OL -26. 27. When u isspue then, pre�s follows: MALI gwner. Mail to contractor. Tele hone `�S �(�nd hold for pickup a�,/ offices Deliver w/inspector. Other A p p I icanv�� r$,.' ADated Copy of Haz-Mat Torm 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 prito permit issuance: (Circle new item not checked abovel„ 1. Index permit for above items No. I/lam► ra_ dlt,014,l _k14 a 2. Additional items required:=-�- � designer, was advised of above required data by phone�nalI—counter by ..date /2 27-90 ,� designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by W Date1Z-Z-1 Plans approved by 11,J Date t -Z-91 Sets of plans on hold in File cabinet AP folder Copy—DPW J ;• TO _.. Building Department FROM: Environmental Health SUB.4ZCT: Sanitation Clearance 12oc� - SGG2w a_ e C sb -3i-30 Owner Location AP# Plan Approved tor: Sewage Disposal Water Supply. Fold' final for: Water Supply Final clearance. O.S.. for: Water Supply Clearance for bedroom mobile home. Other 5 , NOTE s � l%U Sanitarian Date COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR �yayELNUMBER .� C(�O 3Z Zo"* /LEPHONE BUILDING PERMIT OWNE G 33270 SO. FT. OCC. BUILDING VALUATION OW R'3 MAILING ADO ESS-' CONTFyR1 C T OFFSyyMF„ TO_G TELEPHONE CONTRRAACORR''55 MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /-3100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ •- 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI G ADDRESS TSO/vl /� C ,lel Permit fee $ 3 r� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE, SF ❑ Duplex❑ Mobilehome❑ Other 1:51-e � SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK Newx Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: E w/4 Permit Fee $ - Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 80oV 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): ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ACDNS. ACC. BLDGS. , /z¢sgft NEW CONSTRESIO. RANCH TLET CIRCUITS) BRANCH CIRC ITS 2.50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20050e eAL030 FIXED ALNS. Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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 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 against said County in consequence of the granting of this permit. %� 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 $ occ CONST TYPE TOTAL FEE HAZ CUA [!��FLDAL PAR PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRFS flats the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. __. .... _... .., .__._ _..._ ...--_-___ _ . __.._ - COUNTY OF`BUTTE - Department of Public Works 7 County,Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property.Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and materials for construction of / the proposed property,-improvement•(yes'or no) �.eS 2. I (have/have not) e ' signedran application for a building permit lfor the proposed work. I have contracted withthe 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 Security Nuaoer Date 17- NOTE: Z NOTE: This Owner -Builder Verification is sent to you as requiied.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- m 'itted to issue the permit. W 5/89 • RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) _. _..... Bldg.. Permit_ # 432 OWNER �S(�/1 P.l�/I_ - A. P. # --5(0 3 2 - 30 GENERAL vl. Zoning requirements: (sideyards and number of permitted living units). �. Valuation. 3 Plans signed by designer. �� .. Energy Design and Compliance. rj g g P S. Existing violations on property. Items on data sheet. PLOT PLAN tl'l. Complete parcel size and dimensions."" 6/2: Setbacks, sideyards, easements, etc. , v3. Other buildings or'structures. - r/4.- Grading, fills, drainage. A5. Flood hazard.. v6. Special conditions on creation map or compliance_ document._.....: 1i7. FAU & FAS road setback. FLOOR PLAN S d`24CtU_A&07 ro4.n"(fW ` . .. 1. Complete to scale plan with dimensions. OP, 2, Required windows for light and ventilation (Sec...1205)..' rl� 3. Required windows for second exit (Sec. 1204)...:_:_ 4. Skylights (Chapter 34 & Sec. 5207). - pJ� 5. Human impact glass (Sec. 5406). 16. Required room sizes ceiling heights Sec. 1207 1 R7. GFCIs in baths, garage, and exterior outlets -(Article 210-8).. " NP 8.:.: Light fixtures,. switches, receptacles, and exterior receptacles for maintenance :":.of mechanical... equipment. .9. •Locations of water•heater, heating and cooling equipment, other. electrical. or. G Pa�.as equipment, and. -plumbing fixtures. /10. 8arage firewall, ( Y door size, and closer Sec. 503(d)(3)). �P 11. 1 - 3'0" exterior exit door (Sec. 3304(e)). 12. Fireplace and wood stove location, alcoves, and clearance. 1,)@13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR v' Stairway details:. landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j)). 3. Brick or.stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 4. Exterior plaster - weep screeds (Sec. 4706). 5. Proper roof pitch for roof covering (Chapter 32). 6. Roof covering type - (fire hazard).. 7. Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. 9. Adequate bracing. 10. Living area over garage - complete 1-hour separation required on garage side including supporting walls and posts, etc. 11. Two exits on three-story dwellings (Sec. 3303.& see Mezannines - 1716). 12. Attic access and ventilation (Sec. 3205). 13. Underfloor access and ventilation (Sec. 2516).. 14. Combustion air for fuel burning appliances.. 15. Noise requirements on duplexes. 16. Adobe soils -special foundation design. 17. Retaining walls requiring design. 18. Unusual shape, size, or split level house requiring lateral design. 19. Flashing at all exterior openings. •. %a e�di' � ��� u� � nom. ��� � �rcEv r . Y�- U/W 0 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center DTive - Orovind, Galijornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE. IT N0. ASSESSOR PARCEL NUMBER -�- =5�--;`—`^�. ..- _ _ _ rYfi, — — OWNER . - Roger— ZONING — _ BUILDING PERMIT TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION 576 0 2,800.00 OWNER'S AILING ADDRESS P. Forest Ranch 99942 - CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p Total ValuatlOn $2,(700.00 Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Forps't- Lane, Fort Bragg Q 1; lil 7 Permit Fee $38.50 _32101 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $67,75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP V.V— ! Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New® Addition E] Remodel❑ Utilities❑ Installation❑ Other [I Describe work: Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 GOCCUP.&� oRW CONS. T ( DWELLING / ADDNSEW 2y=ssgft NCONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.SOea (POWER APPARATUS 9\ \SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject LP 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 Coun y in cgnsequence of the granting of this permit. /��/ X Date Signature of App I ant - 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 $ occ CONST TYPE TOTAL FEE $ 67.75 HAz cuA PARK SCHL FED PA PD HD Iss This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS DateX, -4'F-Z, Q Receipt No. 70239 WNITC•D. P. W., YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT � l. , fit 'i` iSJ, a < �� . 4 r��.,13'.(�:eFiSsc. x�y�r;..; -^.'."Y"'f �,.a . ;t .... r�1- •J .. ��r7 Whp + `'1 �y '�� �t�(�..�xy�.►'�. �T"„�;,�.r ""wr.` %`.,`�"'`l; ... j �. �1 COUNTY OF BUTTE - DEPARTMF,T OF PPBL14C WORKS}^- BUILDING DIVISION 7 COUNTY CENTE4iC**124- O'ROVILLE, CW' IFORNIA 95965 - TELEPHONE: 916/538-7541 PERM MAP Pt_ICATION DATA SHEET Permit No. OWNER !/C 0 G �/� /i (/ ri�l� S6 Y Z t✓y l -� A. P. S(� — 3 Z " '3 d 'Proposed Building Use ��GBuilding Inspector Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: EA DATE RECEIVED APPROVED All items have been sub itte 0�1. g, .................. ......... . QPlot plans in replicate, signed by preparer of plans........ .�3��90 i 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......:'................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... a� — School Distri tt fees paid .............. Sanitation approval from G6� i f 4J Health Department raRa QP 1� 29YO-5a o '" 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) . 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, proces s follows: Mai wrier. Mail to contractor. Telephone nd hold for pickup at�office. Deliver w/inspector. Other Applicant, Date Na 2 90 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 ri 1. Index permit for above items No. 2. Additional items required: / it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---- inael_counter by ..date Contractor, designer, owner, was advised of above required data by—phone—ma Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder counter by date 61441 Date - J • ,. 7/' -. ....,,,...a.. .Sv_.�.`t--e-•.�5.�- ,+•.. � �...-h. � ..�. • .ir..� ..7u . •vla4 � a4.� - .gin �^_._ -- +e•n. ..�..F=.M1 w,,..r:. ti... - COUNTY OF BUTTE - D,EPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califot•nia 95965 Telephone: 916/538-7541 APPLICATION AND PERMIT - ASSESSOR PARCE �U BER .fp-�.�j 5 ZONING BUILDING PERMIT - OWNER - Y TELEPHONE SQ. FT. OC.`C,BUILDING VALUATION ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace � - •.,. ,~rr CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS-- __ Flling Fee $ _ 10.00 Permit Fee ARCHITECT OR ENGINEER _ - LICENSE NO. Plan Checking Fee S F. ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty - $ BUILDING ADDRESS Permit tee $ 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 pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome)X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK NeAddition❑ Remodel[] Utilities Installation[]Other❑ 0escri a work: M �iP, - - Permit Fee $ Contractor .-� �:•- .rte. ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 - `- CONTRACTORS LICENSE LAW + I declare under penalty of perjury (check One): ,•�- ;L , ,. F-1 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING oCCU- OR ADONS. ( ACC. BLDGS. ,iosgit NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea (POWER APPARATUS 61 SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 120 e00 30 5AL@3t FIXED APPLNS. R Ex. Occup. OUTLETS ((RESID IEA.) 2.00 -- Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g , Hood 3,00 Ventilation. Pennit 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 Signature of Applicant — Owner ElContractor❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONSTTYPE TOTAL FEE $ 7 _ HAz CUA JPARK I SCHL I FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERUIT FYPIRPQ n�to the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. w� r._ .a. w.. w..�e.__ - o,.,...,�-.�_ - _ -.. __.. _.•._ COUNTY OF BUTTE - Deaartent of Public Works 7 County CenteraDriye, Orovil;le, CA 95965 Phone: 916-538-7541 ' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit hai 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) . x 2. I (have/have not) AIGt;t�- 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: Q 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 per- mitted to isi.ue.the permit. , -­ __ - I - � - . �. 11; 11 I � - I ­ , I I -� -�­,4: . - I "I . . . . � . I I 11 I I �. � I I I . "�,� � - , 11 I 11 1.11 , � . I I . � I . . - , 11 1'� - . . I . . ­ , . . � I I-- . � , i'. � � . . - . . 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I . � I . � 1. . - I I I .1 I . . , I I I I � - � - : I . , , I - �'�i �`, L - , � , I � , I - I I I. I I I - � ': , , - , I . , % 'L ,, I _ - . :, , � ­ - , I , �': L� .i � � I- � I . � . � I I . ­ I � . � I . . , . I - .� I - I , - . . I I . . _____ - I I � __ - - -------- � I", I , I . L - - . ---.---.--------- ------- __ - - -1 I I --- - - � __ __ __ --I-- - - I - - .---- ­ -,-. - , I I I I - � � � � � I I f'. 46., f T kep mal rit Wo C-1 Ye' T4 PLYWOOD CC EXT p- pan t so and RMN6. 1_ CLIF— Z4")fU"DF*Z-2"x(o" DECKING (Ng) , ;GIRI)M2 , ` 7 V/s"TtG ?LY\N80P CC EXT. MOBILE HOME OR PC( - 9 P -A 4F MAX. 4"x 6" lli7 2" x i 2" ST ProPartY roes and a setbad -TDF \IIEWof 50ft• from the road HAW22-A-IL NOT 5bMWIAi9wM-a1JArof stnictur*s or equipment-wreW -3/ 11 BOLT f, 2 ft. enve 0yerhe"n all 4,ef RW* X Min. Run Run measured too to toe. 3W max. tolerance betw*M MAX largest & smallest dwnffl. KFL. FRMU CLIP (ER. PE) N lvX (D" 4!,A 4' POST 01) rail to be 36 in. high with in. nm 0Vw 6 In. apart, BOLTS a. 4*x41, POST T, DIA L0 TF DO L 13%&ft-E COU BUILDINGr, OF BUTTE DEPA A -P P R Of WED 7 County Center PRESSURE TREATED RFD WOOD PLA 7-9- AN, L 9-25-87 7 E DEPARTMENT OF PUBLIC WORKS Drive — Oroville, California 95965 Telephone: 538-7541 Ile MM p- pan t so and RMN6. 1_ CLIF— Z4")fU"DF*Z-2"x(o" DECKING (Ng) , ;GIRI)M2 , ` 7 V/s"TtG ?LY\N80P CC EXT. MOBILE HOME OR PC( - 9 P -A 4F MAX. 4"x 6" lli7 2" x i 2" ST ProPartY roes and a setbad -TDF \IIEWof 50ft• from the road HAW22-A-IL NOT 5bMWIAi9wM-a1JArof stnictur*s or equipment-wreW -3/ 11 BOLT f, 2 ft. enve 0yerhe"n all 4,ef RW* X Min. Run Run measured too to toe. 3W max. tolerance betw*M MAX largest & smallest dwnffl. KFL. FRMU CLIP (ER. PE) N lvX (D" 4!,A 4' POST 01) rail to be 36 in. high with in. nm 0Vw 6 In. apart, BOLTS a. 4*x41, POST T, DIA L0 TF DO L 13%&ft-E COU BUILDINGr, OF BUTTE DEPA A -P P R Of WED 7 County Center PRESSURE TREATED RFD WOOD PLA 7-9- AN, L 9-25-87 7 E DEPARTMENT OF PUBLIC WORKS Drive — Oroville, California 95965 Telephone: 538-7541 I