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HomeMy WebLinkAbout028-210-040DON &DEBRA MILEY �J% Drrby Rd, Bangor Q `t permit- 2183.78.6P,E(util, MH). e. a � ELEC '»apA aC A GAS XOT , •J la -el ft SUPPORT STRUCTURE REQ' —'"'��. � COMPACTION TEST REQ ` Kay Eastman & LelaCumming nn W/S D rby Rd., app .i.l mi.S.of ° V a LaPorte_ Rd . , BAngor - contr c Richard' Van-Stavern, P ra.' Permit #826-82MHI (exid.site Issued a y 0ontr; Mercado MH Ser. Permit#2401-86MHI Issued_ 8/18/86 28--- Permit#466-87B(new stairs/MH) o28-210-040 ., 02&ALE CURRY, SCOTT... { 392 DARBY RD., BANGOR U 4 CONT: ROCKER CONST. EX MH PERM FND EX SITE ? i y o NOTES RESIDENTIAL 028-210-040 t 02-2080 I " PERMIT NO. __CURRY, SCOTT_ ! . 392 DARBY RD., BANGOR CONT: ROCKER CONST. I I EX MH PERM FND EX SITE i THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS `t. BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE 1` INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON - NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. IMPORTANT MESS ❑ Telephoned ❑ Please call ❑ Wants to see you ❑ Will call again ❑ Returned your call ❑ URGENT Was here to see you Post -it" telephone message pad 7662 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I N JOB FINALED (Dat [[ Signature CHECKED BY ,/,= OK 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /' Nat. or/ /"L"ft./ /'LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks;'Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater SBoxes- 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/, /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel G.F.I. & Bath Fixtures & Tub Access -Spa 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Elec. Trim & Subpanel, Breaker Sizes & Labels 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stairs & Rails 11. Water Pipe; Test -Anchors -Regulator -Service Test Fireplace or Stove, Clearance -Hearth 12. Electric Underground Elec. Outlets at Wood Panel, Int. & Ext. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Elec. Outlets & Receptacles at Kit. Counter 15. Access & Ventilation Garage Fire Door; Swing -Landing -Closure 16. Insulation A.C. Duct in Garage -Damper 76. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle Guard Rails & Deck -Construction- Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor Q Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive J Yes J No/Walks I Yes :3 No/Planters'] Yes .J No 21. Test Tub & Shower, Second Floor -Tub Access Stucco Brown -Finish 22. Gas Pipe; Sixe & Anchors A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Ventilation Throughout House 23. Fixture & Transformer Clearance -Ins. Protection Glass Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors Corrections from Previous Inspections 25. Size Boxes & No. of Conductors Stapled Gas Test -Meters Tagged, Gas -Electric 26. Romex Installed Close to Edge of Studs & C.J. Water & Sewer Connected -C/O to Grade -HD Approval 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Energy Compliance Certificate -Other Certificates 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Address Posted j 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu orAl 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No JJi Card B-1 Date Card B-1 1 31. Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 32. Equip. Clearances Panels-Motors-Mech. Equip. Card B-1 Date Card B-1 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Ungle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck -Construction- Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks I Yes :3 No/Planters'] Yes .J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground ! 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted j Date JJi Card B-1 Date Card B-1 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive OrovillP, California 95965 • Telephone (530) 538-7541 n P Rr�IT�10 (Rev. 12,/96) APPLICATION AND PERMIT o5 (Jd ASSESSOR PARCEL NUMBER 028-210-040 ZONING BUILDING PERMIT OWNER TELEPHONE —0609 SO. FT. OCC. BUILDING VALUATION 1906 R 102 924.00 - OWNERS MAILING DRESS 392 DARBY RD. BANGOR CA 95914 CONTRACTOR'S NAME ROCKER CONST. TELEPHONE 1692-9031 CONTRACTORS MAILING ADDRESS P.O. BOX 892 OREGON CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $102.92 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 674.50/2 $ 337.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 392 DARBY RD. B Energy Plan Checking Fee $ $ PERMIT FEE $ 380.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 10 Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other IX Describe work: EX MH PERM FND EX SITE Gas piping system 1 - 5 outlets 15.00115-00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 50, Q ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' h Section 7000) of Division 3 of the Business and Professions Code, and my licens i full f ce e d effect. 7 License Class I Lic. No. 6 L � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensatio laws of California, and agree that if I should become subject to the wo kers' cVs�bovisions of section 3700 of the Labor Code, I shall fo with c provisions. X Date I do Signet , e of Aper ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5¢FT. =R SID MULTI -OUTLET 97,50 - PowER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FD(TURES 20 Q 1.00 Ex. Occup.BAL o .so Ex. Occup. DUTY RES D.DEE.- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre -Inspection PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 1430.25 HAZ D CDF I PARCEL I PD HD 5S This permit ishereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByrDat to 2 PERMIT EXPIRES ON Defe Receipt No. 0� WHITE-D.D.S.-B.D: A`�NA��1- OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 * Telephone (530) 538-754 PE (Rev.12/96) APPLICATION AND PERMIT �� C ASSQSSOR PARCEL NUMBEA�� ^ /+� ©�� `/ 2ON"O BUILDING PERMIT fu OWNER TELEnaNE $p. FT, C. BUILDING VALUATION OWNERS ss 90�- �' G O c0 OR,TELEPNON 1NIIE c oA.SAIAI&JP40 A99f JESS � Y d c CONSTRUCTION LENDER , LENDER'S MAILING ADDRESS Fireplace O Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0C ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee , . E EIUILDWG ADORESS Plan Checkin Fee $ Energy Plan Checking Fee E S PERMIT FEE $ LOT NO. SUBDN6pN5 NAPE PARCEL MAP PLUMBING PERMIT Fling a 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.dSF ❑ Duplex O Mobilehome X Other Water i in 1 5. sPEc�v Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 NE Addition O Remodel ❑ Utilities ❑ Installation ❑ Other Building sewer 15.00 Describe Work: \ Mobile Home G @2 S W 0.00 PERMIT FEE f ELECTRICAL PERMIT I Fling Fee 20.00 Main Service OOOV OR LESS lou OR LESS 23.00 Main Service 2000k TO IOOOA 46.00 NEW CONST: ( DWB IM OCCUR so. OR AODNS. t ACC. OLDS. 3.5cFT. MW GONST.MULTFOUTLEr NON•RESID. BRANCH1 @7.50 POWER APPARATUS & SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES B20A L ® 1.0 / Ex. Occup. OSSAPPL(RCSID) 5.00 `^ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring- — - _ 23.00 S� >� L _ - 1 PERMIT __J_ MECHANICAL PERMIT Filing Fee 20.00 Heating O 4mt Cooling Hood 6.50 I ' Ventilation PERMIT FEt 2 Mobile Home Installation Fee $ ---- '25 Energy Inspection Fee E (\J/ «C «�r T PE TOTAL FEES 3�eo j� �3 NAZ. D. FEESIMP 8000 CDF PMCEL PO MO i ISSVE This permit is hereby Issued under the applicable provisions 4-b 6C.,L4+�� , 46 of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON ra ti. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 CIA Y �n PERMIT APPLICATION DATA SHEET Ll n OWNER: ASSESSOR PARCEL NUMBER DO'e'443' '"'j;)L j' 0-0 1 `/ Proposed Building Use: ✓n Counter Technician: Date: Items required in order to appl for a per it. All boxes MUST be checked OR m ed NA in order to apply. �' 1.- Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! :%O'er Energy compliance design and supporting documentation in duplicate. �. s an ) n or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 9. Plot plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner. ❑ 12. Hazardous Material Form. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 15. Statement of Intent for Non -heated and A/C Buildings. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit. ❑ 18. California Department of Forestry plan approval ❑ paid. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements,- ❑ Drainage. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required. ❑ 23. Contractor's license information. (Number, Name Style, Classification). ❑ 24. Worker's Compensation Carrier and Policy Number. ❑ 25. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner). ❑ 26. Letter of Signature authorization. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement. ❑ 28. Manufactured home utility clearance. ❑ 0*Lxi g violation�nd/or expired permits. 2 !� t�f 30. rant Deed'[. Title/Statement of Facts tter from Legal Ow heck to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. original -Applicant PRE -INSPECTION REPORT OWNER: �—� �— y LOCATION: )9 CONTRACTOR: PRE-1NSPETI014 FOR: -Q--,)I M M J DATE TO INSPECTOR: ERMIT HISTORY:( ) NONE YAS BUILDING INSPECTOR'S REPORT Building Description: DATE: A.P. ZONING: Co mrn rciaUUsage: ResidentialM of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Electric Gnu: Natural Propane None Currently Onkff Obvious Problems: Sanitation: Plumbing Working _ Well Working Potable Water Obvious SewageProb Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on. reverse and indicate location on proper k M2�7D,,rby A MILEY Rd, Bangor dp�- rmit#2183-86P,E(util, MH) rel ELEC ao A CAS XOT �4J,-,qh-ktf SUPPORT STRUCTURE REQ COMPACTION TEST REQ YTI- Kay Eastman & Lela Cummings W/S D rby Rd., app.1.1 mi.S.of LaPorte! Rd . , Bangor contra -R'ichard Van Stavern, _P r .' Permit #826-82MHI (exid.siJ-7 loom Contr; Mercado MH Ser, Permit#2401-86MHI Q / Issued 8/18/86 r 28-21-4 .0 �rA' 3 Permit#466-87B(new stairs MH) 3/W97 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, C (Rev. 12/96) alifornia 95965 •Telephone (530) 538-7541 PERMIT APPLICATION AND PERMIT ASSESSOR PARCEL NUMEER 1 ' BUILDING PERMIT SO. FT. C. BUILDING VALUATION OWNER TROpONe OMINEA Qi G G S' Fire lets CO OR'f NAA/E TELEP"ON� OR NO 8Q d 01( CONSTRUCTION LENDER ���� LENDER'S kWUNG ADDRESS tioTotal Valuan E Filing Fee I S 20.0 Permit Fee b Plan Checkin Fee S ARCHITECT OR ENGINEER LICENSE NO. ARCNrtECT OR ENOwEFAS MAIUNO ADDRESS BUILDING ADDRESS Energy Plan Checking Fee S S PERMIT FEE tFillin PLUMBING PERMIT a 20.0USEOFSTRUCTURE Each Trap 0 LOT NO SUBDIVISION'S NAME PARCEL MAP SF ❑ Duplex ❑ Mobilehome )� Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Ne� Addition ❑ Remodel O Utilities O Installation O Describe Work:'Mobile Other � lies i in stem 1 - 5 outlets 15.00 � Buildingsewer 15.00 Home S G W @20.00 PERMIT FEE f LIZ ELECTRICAL PERMIT I Filing Fee 20.0c Main Service 20" OR LESS ooA OR tEss 23.00 ]ITO 46.00 Main ServiceE:"-Z� NEW CONST: SO OR ADDNS. I 3.5¢,7. NON•RESID. MULTFOUTLET @7.50 POWER APPARATUS • SNOLE OUTLET WR EX. Occup. OUTLET OR FIXTURES �0 O 1' 0 I EX. OCCU OFIXED APPLNs. OR UTLETS(RES-0.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 S� PERMIT -IF& PERMIT-IFS MECHANICAL PERMIT Filing Fee 20.0 Heating Conlin Hood 6.50 Ventilation + PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee E «D CONST. TYPE TOTAL FEES s2 . HAZ. D. FEES IMP ROOD COF PARCEL PD NO ' IS` nr This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date - PERMIT EXPIRES ON E lDrrd �--- Z 00, wit fo pp/it Uuc, uar 0 %Mtr: Scoff Corr? 0to°t J t TCCA Mobile, C 694ra c. 16 r: Rockey GouOr. Oz— °1031 Eo pmpfrJy Qwc, SWN, , opt. Qecrr4 P -(.t 0 �Llxi , lo, ZanZ oa-a��3o BUTT COUN7Y BUILDING DEPAREN-7 AP P R 0 d"E D 2"x 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A 3/8" CAD PLATED BOLT, NUT do WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED � MA IMF `=0 11�` 1/4" STAND BASE ABESCO ABS PAD /503 36" MAX TO BOTTOM OF PAD 01/2% 3" C.R. LOCK PIN WITH 01/8- BRIDGE PIN J COACH "C" FRAME 2" CHANNEL 1/4"x 1-1 /4"• TEK STS (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED {+-- 10.00 —+ 0 0 10.00 O t-10 09/16 HOLE (TYP) STAND BASE TOP VIEW TUF-1 PERMANENT FOUNDATION SYSTEM 1/4" GRIPPER PLATE COACH "J" FRAME 1/4"0-1/4" TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C—BEAM J—BEAM ATTACHMENT ATTACHMENT $ $ $ 8" 7,1/2- DIA. HOLE (8) PLACES $ I r 30" -I STEEL FRAME TOP VIEW STATE WAYNE T. POLVADO, APPROVAL i 0 �z u a 5 0 col 0 ` z a o1 3 MIF If 9 1%0 W_ 111= v to �t0 0 z h � A 0 W Q (� U R �_ f •'� 0 �x WAYNE T. POLVADO, APPROVAL i 0 �z u a 5 0 col 0 ` z a o1 3 MIF If 9 1%0 W_ 111= v to .t GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL- FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 22001 6000/1 GUS GUARD MGP PAD 2200# 6000/ GUS GUARD E -Z TIE PAD 2200# 6000# B. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT, MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED vO THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET /3) • 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE .PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SUB WITH FOUR (4) 1/2% 3 1/2" EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET X13) E-w}m--- S S 010 Swj� E 7019-01 rRIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER E] 11 0 (TYPICAL) a ❑ ❑ a ❑ E3—F ❑ ❑ ❑ ❑ 8' NOM. 2' NOM. El,❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PVC SERIES SUPPORT PAD (TYP) ISvE SSI6� N41VIA, ilivrli tkyr-�l (31 for TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL z N O O uo 0> 3. �a. F c -4 u '1zwD i,, i �� _z 7 z > WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 o1 3 r_- 1—i I 3/4" DIA. x 18" LG. 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT do WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM r: —•. •.. AT 8" O.C. \ (8) REQUIRED CONCRETE PAD INSTALLATION POURED IN PLACE 16x16x12 CONCRETE i FOUNDATION INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES �IC ABESCO ABS PAD 0503 }, STEEL FRAME 36" MAX TO BOTTOM OF PAD LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION MULTI—wIDR UNITS LENGTH OF HOME 24 WIDTH OF HOME 26 28 44 UP TO 44' 1 UP TO 44' 8 1 8 1 12 44'-1" to 66-1 6 2 1 12 1 18 66'-1' to So 20 20 20 24 SINGLR vmR 11NPPC LENGTH OF HOME 10 WIDTH OF HOME 12 14 16 UP TO 44' 6 6 6 6 u'-1" % 66 8 a a a 66'-1' to 80 10 10 10 10 O " 01/2"x 3" C.R.: LOCK PIN WITH NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED BRIDGE PIN NOTE: SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE PIN TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL cl OF C6ye��� 37" TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL p z z A wo A o i S i.° O u I i En o V. 4; �39N x am 4 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 0 •- • ;, RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 22 -Aug -2002 2002-0043658 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real'property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SCOTT B. CURRY UAL PROPERTY OWNERILESSOR 392 DARBY RD. MAI.ING ADDRESS BANGOR BUTTE CA 95914 CRY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CRY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write'SAME7 SAME MAILING ADDRESS CRY COUNTY STATE ZIP BUTTE COUNTY BUILDING DMSION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRrVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2080 (530)538-7541 BUWDWG IERMR'NO TELEPHONE NUMBER SIONATURE OF LOCAL AG FFICIAI DATE NONE DEALER NAME (if not a dealer We, write *NONE') NONE DEALER LICENSE NO. UNIT DESCRIPTION SKYLINE 1981 5801 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 04700130AM/CR 60/37 X 24/10 223260/59/58 SERIAL. NUMBER(S) LENGTH X WIDTH UtM u p INSIGNBEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 020-210-040 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. �• � a r.+�rrii�..+lYz1gC'.rrtiA6'�:"k'; BUILDING PERMIT NUMBER: 02-2080 Address or location of unit: 392 DARBY RD., BANGOR, CA. 95914 Legal Description of Real Property: A.P.# 028-210-040 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: SCOTT B. CURRY Owner's address: 392 DARBY RD., BANGOR, CA. 95914 INSIGNIA OR HUD NUMBER: 223260/59/58 SERIAL NUMBER OR V.I.N.: 04700130A/B/CR MANUFACTURER'S NAME: SKYLINE YEAR: 1982 OFFICIAL APPROVING INSTALLATION: DATE: 8-14-02 PHONE: (530) 538-7541 H.C.D. 513C EXHIBIT `A• All that certain real property situate in -the County of Butte, State of Cal.ifornia, described as follows: COMMENCING at the West quarter corner of:Sec tion 24, Township 18 North, Range S Bast, M.D.M.,- as shown on that certain Record of Survey recorded in the Office of.the Butte County Recorder, July 12, 1977 in'Book"Si of Maps'at Page 421 thence North 00.24.128. West, along the West line of the Northwest quarter of said Section 24, 1315.93 feet to the Northwest corner of the South half of said Northwest quarters thence North 890284370 Bast, along the North line of said South half, 1253.33 feet to the true point of beginning for the herein described parcel of land; thence from said point of beginning continuing along said North line of said South half of said Section 24, North 89.28137' Bast, 41S.33 feetj thence leaving said North line, South 01.08.08" East 650.51 feet; thence South 89.13116' West, 415.33 feet; thence North 01008103• West, 6S2.36 feet to the point of beginning and the end of this description. TOGETHER WITH a 60 foot wide non -'exclusive right of way for road and public utility purposes lying Southerly of and running parallel with the adjacent to the following. described line: Beginning at the Northeast corner of the herein described parcel of land, thence North 89028137" East 275.87 feet to the West line of Darby Road, and the end of this description. The sidelines of this right of way shall be lengthened or shortened as necessary to intersect the East line of the herein described parcel. of land and .the West line of Darby Road. END OF DOCLIMiUr STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Manufacturer ID/Name 90302 SKYLINE ! Serial Number D470013GAR D47001308R 04700130CR Addressee CERTIFICATE OF TITLE - -_ Manufactured Home Decal No: LAA9694 Trade Name SCOTTSDALE Model j DOM I DFS RY Exp. Date 1 J --1801 ( 08!0411981 04H3/198 2 i LabelAnslgniaNumber Weight I Length J— _ Wldth SPC' SCC I ExemptTUse 223280 14,580 80' 12' i 04 i SFO LPT 223259 14,580 80 12' I 223258 i 5,840 37' 10' i ! + laved i Total Fees Paid i Jun 28, 2002 i $93.00 at ' . tFl: i' SCOTT B CURRY P O BOX 267 ;,,;:.. :.. ..!:.......'a BANGOR, CA 95914 at ' . tFl: i' s!b ;:i Registered Owner(s) :,...... }., •:cr.. 1'• ii:.'tl:. SCOTT B CUR. Y O BOX 207 ' BANGOR CA 9504!,, ,:; " Situs A40 ess .. `i :; :. „ ,• R 392 D Y A ROAD BANG CA 95914 is •,.; i\, ri:: a ci, �`� '.'.i:'� .' i; :.i. li � �; .,, �• i. :�'t�l;c'c • ;.. d r :,.mer. 'gS; 1 .1 Iii ' ' __ 't ;.. • ii� , �,,'F �i1ts:�: 1: :1{u.•��i.,.` �.'•:�15 ir:6f.l` c, } 'i\ .y'• t 1.r ,t, :%. i;`' yt +', iF `i" ,''•,: " °ii' •'lir, . !'., IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2526655 1. •:.. 06292002- 259 :Q t. AUG -22-2002 03:32 PM CURRY 5304327857 P.01 d &e -o* Z, 1;- r Ao!���F � sT" `'-rc05 w�Y o� Pox- lJ STATE OF CAL FORNIA COUNTY OF .tV/ ) On Z before me, In and for said County and State, personally appeared Notary Public Pa`Sonany Known to me (or proved to me on the basis of satisfactory evidence) to be the Ware subscribed to the'within instrument and acknowledged to me that he/she/the e authorized capacity(ies), and that by his/her/their signature(s) on the instrument the a Person(s) whose name(s) behalf of which the person(s) acted, executed .the instrument. y executed the same in his/her/their • , , .. p rson(s), or the entity upon Witness my hand and ofTicial seal. NotaryPublic in and for said CounMntate P. DETERMAN Comm. / 1115199 IN W NOTARY PUBUC•CAIIF06 N Nowwo Comity My Comm. Ez r" Nby 1,1008 (Space above for official notarial area.) MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE SAME AS ABOVE NAME ' ',TREET ADDRESS CITY, STATE AND ZIP 01hNIODA o (OKI) P.ECGfkbl JG REQUESTED BY WHEN RECORDED MAIL TO: SCOTT B. CURRY Pot V.P-7 *SAAJaoK, U4 g5glq • 2002-002982 / Recorded I REE FEE OfficialCopRp �e 1 13.OB RRTE I CAMAM J. RYY Recorder I slimiie-Jwl-ew I tant Palo i of 3 5PAce ABOVE THIS LINE FOR RECORDER'S USE Documentary Transfer Tax: $NONE () Computed on the consideration or value of property conveyed; OR () Computed on the consideration or value less liens or encumbrances remaining at time of sale, (X) is exempt from imposition of the Documentary Transfer Tax pursuant to Revenue and Taxation Code Section 11927(a), on transferring community, quasi -community, or quasi -marital property, assets between spouses, pursuant*to a judgment, an order, or a written agreement between spouses in contemplation of any such judgment or order. The Undersioned hereby declares Signature of declaring grantor or grantee INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under California Constitution Article 13 A Section I et seq.) This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code and Grantor(s).has(have) checked the applicable exclusion from reappraisal: (} A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or by a trustee of such a trust to the spouse of the trustor. () A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of a marriage or legal separation, or (X) A creation, transfer, or termination, solely between spouses, of any co -owner's interest. () The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal entity in connection with a property settlement agreement or a decree of dissolution of a marriage or legal separation. (_i Other: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, KRIS CRABTREE, SPOUSE OF THE GRANTEE HEREIN Hereby GRANT(s) to, SCOTT B. CURRY, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY The real property in the Unincorporated Area of the County of Butte, State of California, described as: SEE ATTACHED FOR LEGAL DESCRIPTION APN NO# 028-210-040 DatJLee 5, 20 KFN CRABTREE MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE NAME SAME AS ABOVE STREET ADDRESS CITY, STATE AND ZIP O.-UMoa.aor (cera,) .r r g t r x PERMIT NO. 466-87B PERMIT EXPIRES 20 O OWNER DON & DEBRA MILEY CONTR. owner ASSESSOR PARCEL 28-2139 f LOCATION 392 .Darby Kd, Bangor n Temp. Power 1 Called PG i Temp. Elec. S Called PC Temp. Gas Sei r Called PC JOB FINALE[ Signature r d-= OK. 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zo ' g Requirements—Setbacks-Easements 2. Soils; Special MH Support—Sketch ` Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, IK n.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. AIwn.Awar6Blumns—Connections—Splice—Decal—Enclosures W 6. Gas; Location—Test—Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ /" LPG 6. manna«- windows—Doors 7. Utility Clearance 7. FI c. Card -BI Date Card -Bl- Date Card -BI ate , Card -BI Date Card -BI Date Card -BI 'Date Card -BI 4 T Date • Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date P6dLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers-Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI S. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9, Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s 11 Date FRAMING (Continued) __1. 2. Zoning requirements -Setbacks -Easements Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg.' Depth 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors _ 10_. _ Water Pipe: Test -Anchors -Regulator -Service Test 11. _ Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support - Ins.' 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI DateCard-BI Date Card 13 Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access_ 19. Gas Pipe: Size & Anchors Card -BI DateCard-BI Date _ Card -BI Date Card -BI Date 49. .Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled__ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Shear Walls; Nailing -Bolts Insulated Neutral Yes -'No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. 30. Clothes Closet Light -Shower Light 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks C Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card Bi Date 81. Ventilation throughout House Card B -I _ Date Card -BI Date 82, Glass Protection _ 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except #'s _ 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support _ _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation _ 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow. Size & Grade 34. 48. Property Line Firewall & Openings 35. 49. .Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection_ Card -BI Date 51. _ Plywood on Root Overhang -Attic Vents -Rafter Outriggers Card -BI Date 52. _ Siding -Nailing -Veneer Card -BI Date 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 36. 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Card -BI Date Card -BI Date Card -BI 42. Date Card -BI Date Card -BI 43. Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Fireplace Ties or Type A Flue -Fireplace Throat 57. Smoke Detector Attic Access. Size & Romex Protection -Draft Slop -Ins. Baffles 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 59. Bedroom Exiting Garage Fire Protection Framing 60. G.F.I. & Bath Fixtures & Tub Access (NOTE Anentiy must be made each time you visit job site) 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks C Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card Bi Date 81. Ventilation throughout House Card B -I _ Date Card -BI Date 82, Glass Protection _ 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except #'s _ 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support _ _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation _ 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow. Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Caid-BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Com: lents at Final: 36. Sills. Proper Material & Anchors 37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings-Slair_s-Chases-Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfti. Ties-Purlin-Roof Brac.-Truss-Shihnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Slop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentiy must be made each time you visit job site) Card -BI Date Card -BI Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calit&rnia 95j 65 - Telephone 916/534-4541 APPLICATION AND'PERMIT M IT ASSESSO ARC rU 1 - ZONI G — BUILDING PERMIT OW R T °' �! SQ. FT. OCC. BUILDING VALUATION OW SAI N AD ESS r ✓� CO CTOnR'S NAME CrC TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 ' LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER 14 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r1911Permit r fee $ D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME OARPL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG W 10.00ea TYPE OF WORK New Addition❑ Remel❑ Utilities❑ Installation❑ Other ❑ Describe work: C �G�� �s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOO'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. (cense No. Classification 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 &At -.for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ , OR ADDNS. ACC. BLDGS. /zQsgft NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occu 20 0 50C p OUTLETS OR FIXTURES 5ALO 30 FIXED APLNS. Ex. Occup. OU LETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declar nder 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 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 bilities, jud ts, costs, and expenses which may in any 4wayccrue agall st ' Count in cc s lice f the granting of this permit. Date lU Signature of Applicant — Owner ❑ C tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I I F L OtT A RJ;J PD I No Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date 4-7 3' J, -L— Z'3 / Receipt No. WHITE-D.P.W., YELLOW -ASS LS SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.QF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CtA Fp.Fi��hi4 95965 - TELEPHONE: 916/5341 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector Permit No, At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1, All items have been submitted. - - - - - - - - - 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . - j . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ - - , - , , , , 9. Letter of signature authorization. .',f t1 10. Sanitation approval from_ 0KDVaA* Health Dept. 67 11. Planning approval 'for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.), _15. Improvements may be required. . . - . . - - - , , 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to - Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail tw�o contractor. 3 Telephone and hold for pickup at—off ice, 0liver w/inspector., rt Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. T' 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by` date Contractor, designer, owner, was advised of above required data by—phone —ma ll_counter,by - date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date — Hours: 10:00 a -m. - 3:00 p.m. TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for:\ Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** S it a Date 200' '(his io't 'of plans and specifications MUS1 b. Copt on the joie .at all times and it, -is 'unla * fu,l tt 1; 180' make any changes or alterations on same withou written permisson from, the Depertment of Publk Works, County of Butte. .' NOTE -,—All Materiels "& Workmanship- Shall 'Be in' Accordance with Recognized Good Practices and C' 160' :of a quality 'p�esc ibed for th* 'Specified use in the Uniform Building, Plumbing & Mechpnical,- Codes :gnd the National Electrical Code.: 140' A�setback Of 5;ft. froth -the I.... �.'•. :_! 120' t..l property line$_4fpcl,a setback : I of 50ft. fromthe road centerline shall be clear *Rlktur6s or- e'` q pm . n ce�t i •. I. ;.,. ;... , ; , i tf& a 2' ft. eave overhe `ng• ..100'--- ._. w.__:' ._.. - ...__�..:..I..t ........ 1... t... . � , ,._...., .. � .� • . . . Utility,connections shall:be,withlm� 4 ff. pf the mobilehorrie; elthit' t . , I . : • 500 SQ. Mr1 jjmrj r FT. M directly behind or within the fee? FOR MOBILES:..: . 80' half of the roadside (left)of the mobilehome► ,. ..,. I � r'i 1 i 1 i I 1 .. i•:i 1 1 � .. i �' .. ... ..._1._ •-- � J. 60' �-�l -�� - A permittwi I be required for•the D ' install f 'the mohilehon'te. i I I I i I} 1 1 40@ IT 100 ►.... -L .. _BUT E COUNT , ... I .. � i 1 o?T.,.►,g�.1 �� :BUILDING'DEPARTMtNT APPRO ED J' _.._...__. _........ _... , ;.:. , :. 3UILDINC�, DEPARTME141• , 6' TYP. V..0 Tl r D1 V1.1AAf % nn rvr - GrIJARDRAIL r', MAY nCrvIkIf_ `I MIN. FOOT I NG GIRDER q°X9" POST F U4TE D 4"x 6-1 t X Ir - - oq Q T FRMIu G. 2' x 12" STATf G 48'0.x. MAX. 7QP VIEWHAUDQRIL. NOT SH7 ELNIMTY. A\ r 3/gI BOLT F w OBILE HOME �t s iMAX $= Max. Rise L. FRMU Min. Run un measured toe to toe. CLIP (EA. DE)' TM, w. -Ve" max, tolerance betwee' 4"x (D"largest & smallest rise/runt, 4",x 4" POST 2"x 12° X #'ZD .� -- co z 2'�c4" PRESSURE (2) 3/a" 701 7A -t" oR 8"MIN. BOLTS �R�'DwooUi'.%�,7 �.v. 11 14DIAI C3RAC1 NG. T I CAL L ANo/ �CfC COUNTY OF BU E —fte, NT OF PUBLIC WORKS % 7 County Center ve California 95965 Telephone: 534-4541 /2-3- 8S iPERMIT NO. 2183=86P E MH) - PERMIT EXPIRES -1 c;- .7 - OWNER DON & DEB4 MILEY' CONTR. owner ASSESSOR PARCEL p 28-21-19 LOCATION<� Darby Rd, Bangor f, ,� hP �"- OFFICE COPY Address 1 GAS I MeterDate- ELECTRIC ! ' { Date j ELECTRIC Meter By Da�� Temp. Pa _ Called _ F, OFFICE COPY I Address Temp. Elec GAS Called Meter By- Dat ELECTRIC ^` Temp. Gas _ . Meter By, - Dat pp I a i Cal led[' _ C JOB FINALED (Date) 6 -- /-' �EMINS L�AVAUFA 9.7 R J=OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEJkLOME UTILITIES (Plans) OK except #'s ing Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Pk"Soi!A,'Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors ewer; Location— t—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs-Rails Loc n—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location—Clearances—Grnd.—.447450Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI C Date •. ,6 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except s's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's ng Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5• Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures: Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r U V = OK 0, Not OIL - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OKexcept #'s Date FRAMING (Continued) - - 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _- 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _-3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10_. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric: Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, F.irst Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date ___ Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card 8-I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled _ Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners_ -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes ,�No Service -Riser Conductors & Ground -Main Disconnect _ Equip. Clearances: Panels-Motors_Mech. Equip. Clothes Closet Light -Shower Light - _ _ --- - Date Card -Bi Date _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70, Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. - Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive E2Yes []No; Walks ElYes ❑ No; Planters ❑Yes IJ No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. - -' Exterior Elec. Trim; G.F.I. Receptacle -Underground _ 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's __ 83. Corrections from Previous Inspections 84. Gas T est -Meters Tagged; Gas -Electric Card -BI Card -BI Date 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size_& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date - FRAMING(Plans) OK except p's _ _ _ ;;Card _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates ---- -" -' - -'-- - - Card -BI Date Card -BI Date Card -P, Date Card -BI Date -BI Date Card -BI Date Com lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -S, and Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred CeiIj!ass-Stairs-Chases-_Tub_ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties of Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE Anentrymust be made each time youvisit jobsite) -MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or loc Owner's name Owner's addre Insignia or hu( Manufacturer's Serial nu of y.-I.v. i) 4) 0 12 Q Year of manufacture —L— A'111 (OfFicial Approving Installation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEFITANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. C r513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection hWicates 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 officg immediately. ' Date ` - Inspector_. _ "� �_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r— 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need" additional explanation, please contact this office immediately. Inspector_ ` r. \ <. i/1/��jr DatedQ,, .•t — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPPMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 l 3 — APPLICATION AWPERMIT ASSESSOR PARCEL NUMBER x'10 -2/-0-Ol q- 0 ©� ZONING BUILDING PERMIT \ NER TELE H NE S0. FT. OCC. BUILDING VALUATION OWN MA^.L (LING AD R2E SS^� j4�/ b CONTRACTOR'''S NNAMEE`J TF.LEPHONE CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUG ION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER' MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1, O Energy Plan Checking Fee $ ARCHI ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN ADDRESS p permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME TP.EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1Duplex❑ Mobilehomeg�r Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00eaan TYPE OF WORK New[:] Addit' n❑ Remodel❑ Utilities Installation❑ Other Describe work: _ _ C5 Permit Fee $ Vo. 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 a an 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. Icense 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.& , ) �z�sgft New CCONSTR. AUC TII-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. ( 09 Ex. Occup\OUTLETS OR FIXTURES 2AL y3. eAL030 Ex. Occup. OUTLETS ED APP(RESID )LNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 02 Misc. �Virin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment`, costs, and expenses which may i any way accrue Id ntyI con equence of the granting of this pe mit. �'1 Date 1 �� �& 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 heipht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O OCCUP. CONST.TYPEJ JFLOO9fPAR;,PCJPD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT fl OF PUBLIC BY PER rWEXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date y1 1I' ��'o�.�/ Receipt No. WNITE-D.r. W•. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT AZ COUNTY OF BUTTE--DEPARTMENT�OFi—PQBLIC WORKS - BUILDING�,DI IVIV SAON 7 COUNTY CENTER DRIVE - OROVILLE,:(P, l d.E.QRNIA 95965 - TELEPHONE: 9,16/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon CG Complete Contract Price Permit No. A. P. No. a (9- -,.:9 l DPW Valuation i Building Inspector Uate riiii � c-, At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED All items have been subm' . . . . . . . . . . .. Plot plans in duplicat ri . . . . . . . . . g �� 3. Complete plans in duplicate/tri.plicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization.. . . . . C1 Sanitation approval from (/t�0 U i /I(� Health Dept. �a 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . X.. . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . e 1 Pre-Inspec. requt to (Date) Pre -Inspection for Required. Building Insp ct r . Recorded opy 1 19. Oth�% I^ I 3 #Qn ydfi erA#e A e2y .5'r Telephones �'M 601 Other of Agricultur I Acknowledgmentatement. ) Vt` t,' f' a a"s RolloGvs: "' Mrowner.- Mail to contractor. and hold for pickup at Clt)f® office. Deliver w/inspector. Appl Copy of plans sent Health Dept., Fire Dept., Other Date -1 131*36� Date During the plan checking process, the following data must be submitt d prior to permit issuance.."" (For required items not checked above at ti of appli tion, c' Item... 1. Index permit for above Items No. 2. Additional items required: 4,0146v-& S'� / (Contractor, Designer, Owner) was advised of above required data by�Tlelene Mail Other/ By Date lcs Plans checked by Date Plans approved by Date Other: Copy—DPW TO: Building Department PRO,I: Encroachment Permit Section RE: Driveway Clearance owner 1 ..location AP # Driveway permit / ,L \C19�'1 -e has been issued for the above property. f f s ign;at a date TO: Buildlim. From: ,-.ubject: Sanitation m e, r Plan Approved fol,. - Hold final f or: ina-1 clearance .1-01': 46 CL," Clearance forLAP 't" _001 'It cation n O'Iter :--Upply - L v.,,,Aer supply To: From: nvirondretnu :] "ubject: in -Lion rt I, i Orl All Ilan .y-prU�:;C f(;:. ": ;l i:''; l /� 1 tu r :-unply lrol(i fi.rill fog•. ?inad cle,%r::nc-, i' ' `i', e:ticr sur)l-,1y , 1 nJ.i . i 11• _,��� . 1 �l::aranc• for i ,�- �.�::•(:1'oin�`�lt;�r } ;r.(=. t�'f:?t::c' ��..._._ .. r RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Name �.i• �7 �1� /� ///� ,lf Street /L Address State LI �,G/, I . 86-20065EIOFIRECORDS OF BUTTE COUNTY,1.'ALIi'ORiiiP. b.T TPF B�Qt!'-7S ,F PARre SHOWN 1966 JUN 2 S PM 12: 10 ELEANOR 1.1. BECKER CLERK -RECORDER FEE 86-20065 SPACE ABOVE THIS LINE FOR RECORDER'S USE —®g %,owuery s rrum nu. %ov — ur iru yr ver a — ouvr t, rva ill — %aw•- drown✓ Deed of Gift This Deed,made the . Eleventh day of June Ir one thousand nine hundred and ....... Eighty, ..$,ix ................. M.....Cmi.ngs ..a.nd. •Maui s . -Kay.• Ea•stman• • a•1•c, a • known. -as .• • • • • • Between ......Lee is . um MavisK.Erler.............................................................................................. _. . .. ........................................................................................................ . Grantor and.. Donald..S....Miley. .and. .D.ebbie.. K... Miley.. husband • •a•nd• •wi•f e • • • •a•s• • • •.• • • • • • Joint.. tenants.............................................................................................. .......... , Grantee Witnesseth: That the Grantor, for and in consideration of the love and affection which ........ the .y...... have ... for the Grantee, do .....'.. by these presents gift, give, and grant unto the Grantee, and to..their... heirs and assigns forever, all................................................. ........................................................................................................................ th a.t... certain M#...... , W4 # ..... ,parcel ....... of land situate in the ..N.Qrt,hweat, ..1 /4. Section of 24, Township 18 Northr Ranqe 5 East, M.D.M,.. .. uni.ncorporat ........area........... County of .. By t to.......................... .State of ... Ca 1 i,f or n i a........... , and bounded and described as follows: See Exhib4_t "A" attached h1e.r_cto ane. made a part hereof. Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. To have and to hold the said premises, together with the appurtenances, unto the Grantee, and to ... theix... heirs and assigns forever. ads document is only a genera form wNee may be prover tar use in amore trarueeCone and in no way acts. or is intended to act, as a suesWe for the adAw of an attorney. are printer does %,owuery s rrum nu. %ov — ur iru yr ver a — ouvr t, rva ill — %aw•- drown✓ 86-20065 EXHIBIT "A" Commencing at the West 1/4 Corner of Section 24, Township 18 North, Range 5 East, M.D.M., as shown on that certain Record of Survey recorded in the office of the Butte County Recorder, July 12, 1977 in Book 61 of Maps at Page 42; thence North 00° 24' 12" West along the West line of the Northwest 1/4 of said Section 24, 1315.93 feet to the Northwest corner of the South 1/2 of said Northwest 1/4; thence North 89° 28' 37" East, along the North line of said South 1/2, 1253.33 feet to the True Point of'Beginning for the herein described parcel of land; thence from said point of beginning continuing along said North line of said South 1/2 of said Section! 24, North 89° 28' 37" East, 415.33 feet; thence .leaving said North line, South 010 08' 08" East, 650.51 feet; thence South 890 13" 16" West, 415.33 feet; thence North 0.1° 08' 03" West, 652.36 feet to the point of beginninq and the end of this description. Containing 6.21 acres more or less. Together with and reserving therefrom a 60 foot wide non- exclusive right cf way for road and public utilities purposes lying southerly of :and running parallel with and adjacent to the following described line; Beginning at the Northeast Corner of the herein described parcel of land, thence North 89° 28' 37" East, 275.87 feet to the West line of Darby Road and the end of this description. The sidelines of this right of way shall be lengthened or shortened as necessary to intersect the East line of the herein described parcel of land and the West line of Darby Road. This right of way is for the benefit of and shall inure to the above described parcel and any heirs, successors or assignees. The Basis of Bearings for this description is the same as that as shown on said Record of Survey 61 M 42. END Or uOCUMENT RECORDED -1N OFF10tAL RECORDS `turn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BUTTE COU T THE REQUESOIJES LiFORiifA T 4F FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1986 AUG -8 AM 9' 2 The property described herein is adjacent to land or included ELEANOR ,M SECKE9 within an area zoned for agricultural purposes, and residents of this WN FE property may be subject to inconveniences or discomfort arising from 86"25587 the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to,cultigation, plowing, spraying, pruning, and harvesting which occasionally generate dust,' smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: SE.(=- P%T I A C. N ED PROPERTY OWNERS State of ) On this the �_ day.of 19f, before SS. me, the undersigned Notary Public personally appeared County of ) ' FPersonally known to me. •L/ Proved to me on the basis of satisfactory evidence. ■aC1C JO®0®p��CI0C3^�]�7Cn■■■®to be the person(s) whose names) �Z� subscribed to a■the within instrument and acknowledged that Ll ' PATSY �. CARTER :executed the same for the purposes therein contained. NOTARY Bute'Cou PUBLIC -CALIFORNIA :IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires May 13, 11988 a Present A.P. No. .� - ) - l9 DV. f) Notary Public EXHIBIT "A" " Commencing at the West 1/4 Corner of said Section'24 as shown on that certain Record of Survey recorded in the office of the Butte,County Recorder, July 12, 1977, in Book 61 of Maps at Page 42; thence North 000 24' 12" West along the West line of the Northwestl/4 of said Section 24, 1315.93 feet to the North- west corner of the South 1/2 of said Northwest 1/4; thence North 890 28' 37" East, along the Northline of said South 1/2, 1668.66 feet to the True Point of Beginning for the herein described parcel of land; thence from said point of beginning, leaving said North line South 01° 08' 08" East, 650.51 feet; thence North 890 13' 16" East, 460.60 feet to the West line of Darbv Road; thence North 160 04' 44" East along said East line 12.52 feet to the beginning of a curve to the left having a radius of 470.00 feet and a central angle of 490 32'; thence along the arc of said curve 406.32 feet to the end of curve; thence North 330 27' 16" West, 120.18 feet to the beginning of a curve to the right having a radius of 780.00 feet and a central angle of 120 01' 44"; thence along the arc of said curve 163.76 feet to a point on said North line of said South 1/2 of said Section 24; thence leaving said West line of said Darby Road, South 890 28' 37" West along said North line 275.87 feet to the point of beginning and the end of this description. Containing 6.22 acres more or less. The Basis of Bearings for this description is the same as that as shown'on said Record of Survey 61 M 42., AP # • OWNER, W-fl� � I M► i UT IL. CLEARANCE DAT INSPECTOR ELECTRIC GAS Support Compaction Pipe Struc. iTest.Req.- Service Other Size Load Type Size Length YES N01 YES NO AA TO COUNTY OF BUTTE - DEPART-MENT OF PUBLIC WORKSaPE Q NO,, / 7 County Center Drive - Oroville, CarAiq)rnia E15965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONIN Z ,� a e,. `� BUILDING PERMIT NER �� Q SEL PPHONE (—� SQ, FT'. OCC, BUILDING VAL ION OWNER'S Al N ADDU SS 3 `z R.. CONT CTOR'S NA E r v TELEPHONE CONTRACTOR'S MAI ING 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 ,$ s. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 41 PLUMBING PERMIT Filing Fee 10;00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME RCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00ea TYPE OF WORK New ❑ Addition El R�eemodel ❑ Utilities ❑ Installationv Other ❑ Describe work: /"/ /T _ 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 F]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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR AODNS. ( ACC. BLDGS. /20sgft NEW CONSTR. MULTI—OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR, Ex, OCCUp(OUTLETS OR FIXTURES .AL@30 eALO30 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. LJ 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. 1 also agree to save, indemnify and keep harmless the Count of Butte against ,costs, and expenses which may i any ay accrue seq nce of the granting of this p� mit. (�/ S mm Signature of Applicant — Owner ❑ Ca tractor 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. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.T7 FLOOD PARCEL P NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PEWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESS R, PINK -INSPECTOR, GOLDENROD -APPLICANT 1,0 OWNER COUNTY OF BUTTE - DEPARTMENT.-OF-P,�__NIYq9;1 BLDIC WORKS - BUILDING V�I�SION 7 COUNTY CENTER DRIVE - OROVILLE,'16At°IFORA 95965 - TELEPHONE: 6/534-4541 PERMIT APPLICATION DATA SHEET IPermit No. / Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector Uate L-' i i ✓ iy At tiXeofermit application, I was advised the following data must be submitted prior to permit processing and ance: DATE RECEIVED APPROVED ll items have been submitted. . . . . . . . . . . . 2... Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12.. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . 17. Pre -Ins ection for Required- . . Pre-Inspec. request to (Date) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. . . 19. Other Whe ou issue the ger t -o ss as follows: Mai Al o owner. Mail to contractor. Telephone v and hold for pickup at UK(') office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by i Date Other: Copy—DPW 200' r .4' •I i � I,ti l ,this* foV ' of pians and specifications MUST D� ' Rept on the jolt -at .all...tirnes and. it w ;unla' ful' tC* I .;. 180' make any changes or alterations on same withoui written permisson from, the Department of Publlit 1..,. Works, County of Butte. ' NOTE: All - Materials - & Workmanship -Shatl-'Be" in' Accordance with. Recognized Good T..ractices and 160' ' `of a quality 'prescribed! for'the- -Specified use''in the -i - - i.7` Uniform Bui4ding, Plumbing & Mechpnical, Codes; qnd ,._ the National Electrical Code: 140' . i ,'i'I :-i�;-; r -I � . , . ' ; ..t''i i I'1 j'i 1-I- -; -, � -;• j � I - -... l .. ; . , . ,.., . , ., A setbacf� bf 5 ft," jror7i the 120' i. , i..� ,..,...;.. Prop'e-�ty,lines_4f_o.d.:a. setback • ........ , of 50ft..from the roiad. centerline shall be clear of -.... :t'i"a° i. i. t i I i ;• lr•.� !• trcttrs o q�lpmerit'e5c �trce t I'. I'.4 ; -, - i1 s..ifp{ a-2:ft. e'ave �= i-;- i. �►_i . bvewhg Utility connections sFiall be1w-Ithlp'. ;', 4 ff.'pf the mobilehoriie; elthor' ' ' 500 SQ. - - j • i i 1 ! ' directly behind or. within the roof' �' M FOR MOBILES-`!-. 8Q� half of the roadside (lift) of 4h0 , - _ 60 A_parmit�w I e reciured for the mokiil'ehor�ie.,: .. .-. ..i".'I- . r -.1 ... r. .. ,. -�'i. .t..j.. _1..._ .. .j.i-r }•.-1 __ {_. _. l-.. '.... _.:--�•....r. -_.., (V` • I FAG r/SC.D I r I' C. 40' .; I i i -'..j.( i' I .1 i 1. I i •1 I� � I; i j I(, I' ) �.I i 1, ' r r 1 i".'1' ! .-. .,. •.1 I..i`��-f I.;.., ,. � }.� � F., � } I..,.,.�r-�•{-{-i i._�.. ,... _,.•.,�� � I ,_ ,.. I 1 I I , 1 .}' I i " 1 i , i I i .. , ..i .� 1 � .. _ ?� D�-•� —r- \ • 20'` I , P P RQ V 91 t D' • i r-:- - - 20 . �, ao.• ........_;.. Q.�_.__...:.... �_� � ._ 120 40_ _. ///•J µ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: De2// 2. Installer's name: 049 y 3. Is the site currently under permit? Yes No t (If yes, furnish permit numberOR. Is the site an existing site? Yes / / -No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No 10. What is the type of gas service? ----------------------------- Na ural 77 LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (B. (This information not required if pipe len a or less than 50 ft. on LPG.) rGtf S �/G!/• AJ � h �� • a '�, 7 (If no,- clarify ) S. :What is the mobilehome electrical rating? ----------------------- / d Amps 6. Whaf"is the mobilehome site service rating? --------------------- Amps y 7.*. .What is t•he mobilehome site circuit breaker rating? ------------- / ® O Amps 8.' Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------//-------------- Yes No T (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Na ural 77 LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (B. (This information not required if pipe len a or less than 50 ft. on LPG.) rGtf S �/G!/• AJ � h �� • a '�, 7 MOBILEHOME SUPPORT DATA Iuotfir than single wide, Mobilehome Mfr. �6o fs6f� furnish Setup Model No.5C.-rS-801 Year �0 Width 264 (ft.) Box Length (ft.)- -Tagalong' or Expando Size40 ft. x 4;�_ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of- mobilehome unless otherwise specified. Footings (check one) Single 1'. Wood either \L A pressure treated or ..— 10. foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support locations* Center support footing sizes Supporta . (check one) �o E `: Concrete block. ,1 , � .2. Other. ( specify) (ft.)(in.) (ins) (in.) � y � SG 3 � Y � b 3b ®c�-u. oR�nA� 2�l�� ovfr.�i Y `. 4(31 v?/ '8u 36��e. J( scm cclacc.-5 D 4 --Tagalong or Expands, 9> show support details. (ft.)(in.) (in.) (in.)P4""§, ciNA�L-S�A�r-a1ALL Typical Support q7okv 7 'o "• (in.) (in.) Footing Size u ' (in.) (in.) Max. Pier Spacing &b Max. Overhang (ft. (in.) 'BUTTE COUNTY BUILDING DEPARTMENT APPROVE® *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. 1 PEI FAIT NO. 826-82MHI(eX.Sit PERMIT EXPIRESr��/�� OWNER Kay Eastman & Lela Cummings CONTR. Richard Van Stavern, Para. ASSESSOR -PARCEL 28-21-13 LOCATION W/S Darby Rd., app. 1.1 mi.S.of LaPorte Rd., Bangor Signature V = OK, 0 = Ifot OK = Not Applicable MOBILEHOMES * = Not Ready t c. MISCELLANEO 11-5, Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, FTC. (Plans) 0., :Acept N 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Baits 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Cohnec.—Shthg.—Rfg. (?racing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections-Splice—Decal—Enc.cis,:es 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date '% Card -BI _ Date Card -BI Date Date MOBILfiAOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's — If 1 o ing Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector ectricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI rajp; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed a er and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit its; Insp.—Sketch 1 . Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date 1 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � r Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. D 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu cr 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Liaht-Shower Liaht Card B -I 48. Date Card -BI Date Card B -I 49. Date Card -BI Date Date MECHANICAL (Permit) OK except q's _ 31. A.C. Ducts; Insulation & Support _ 32._ Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Glazing Area -Glass Protection -Skylights -Plastic 35. Attic Access & Platform if Furnace in Attic Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI _ Dale Card -BI Date Date FRAMING(Plans) OK except q's 36. _Sills; Proper Material & Anchors _ 37. 38. 39. _ _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailin_g__ _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -_Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: Anentrymust be made each time youvisit jobsite) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8,91-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION ,NOTICE BUILDING OR PROPERTY ADDRESS I A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. �F! J��,Q,1T'� T-: ��. 7 ..�+n i ��^4 � ' �I'r`.r;. � �3TC.V�•ac� 'r,.;��.�..er �( �U—u �� �31i/.71�,1,� , a?t/�/'It�•v� � V rSt� ?.�1t. r� �i I -- I---_-1 1 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY - This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number, -`R 2 --for the following location: 1 1Ic t� S• - VA—,A oo I h o t„n > —,z:� 1'-"[�t7 Owner ti �/.(��.7'i't�n`Lv�d 1 a 0(1 inn U%.L I +n., e- Owner's Addressnf� t— Mobilehome Mfg. 17t ),IeL 1� Model Year Insignia No.2:X3� t[' �'rs�- ,ii Serial No. $J-)^ —n t2,, It is hereby certified for occupancy at the above described location and may be occupied. ' G. Director of Public_ Works ` Date 'Y —13 " $ 1! THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS •' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT j �� '0 M ASSESSOR PARCEL NUMBER (' -4 2 8 —.21 —i3 ZONING BUIL PERMIT OWNER )< AJe S TAI q fJ '- LEL r% CU /V1 Al f AJ G s TELEPHONE SO. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME RIC HAR0 d4A! ST Ve,0J . 1 SE eUiGa TELEPHONE 71 -034,4 - CONTRACTOR'S MAILING ADDRESS i 30 C 0QQ0LL J, Ai DISE CiyGif-. 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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z© ILDING ADDRESSDOA>... pARBY AO fjPPRox .11_6 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USOF STRUCTURE SF ❑ Duplex[ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK t New ❑ [:1Addition R del [:]Utilities ❑ Installations] Other ❑ Describe work: ( �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 011 R Main service 100 AMP ORSLESS 5.00 Main service EA. ADD -L 1100 AMP 2.50 NEW CONST. (DWELLING OCCUP.511 OR ADDNS. ACC. BLDGS. / 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professions Code and my license is in full force and effect. License No:r1 Imo( '17 Classification e- Cy ( ❑ 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 CONSTR T .Ou LET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CON STR ( POWER APPARATUS e1 NON-RESID. (SINGLE OUTLET CIR, Ex. OCCUp OUTLETS OR FIXTURES_ BAL@1 FIXED APPLNS. OR Ex. Occup.(ouTLErs (RESID) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 Filing Fee 1000 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence o�f� the granting of this permit. X'i V �- ti�elP l��� QIJ Date 4- 6 - f`� Signature of Applicant — Owner [L]' ComraCtoAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. bile Home Installation Fee $ Q ,�— ov TOTAL PE MIT FEE $60 — OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I IS9U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid.. WORKS Date �y�4 �Z__ -iin Receipt No. �/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -I PECTOR,,G D'EMROD-APPLICANT ' :dais seii of plons'a >Ic� gpecificatllons..l USS ba :_ -• - - - -'- --1_ �~ - . - !_ . _ . _—._ _. 1 _ _ . . . . . . ._ . . . .. . .j _ _ �_. , kopt on -t{ a job at all times and it is unfawful• to - . ' ' " make any changes or alterations on same w4bta# A4A11: Materials A. Y.�orkmgnship Shall fie. in written perm'ission.from tf � D$paztment_of.Pub0c ; ._- - . - .. '.Qrdance--•�+.+'� ecegni7, d Ceod Practices- and Works, Cbunty of 8u#e. _ '_- -__ l i_i r� tired for tii> pecified-use its the j :Uni{oim_E3ui ng. 'l�iambms� Iz Mechanical odes end : r11��ho •National Electrical Code. _ PIILLA-M HOME . . i .. . #A setback of 5 ft. from - om'the� - property: !fines:and a setback ; : . . . . . i .. : : : : _ : : : i - : : sof 50ft. from the road cenf6 lin-sKiN be -clear-of C�? A?E JCA -- . .. or-e�vit�me`nf except_ 41 I TE C0.1my ..; -PL�;� N �..�_ F'ROP RTS` �-I - � 1 � _ !-----.--- _ _ ; T , _ , , , ! T- -1 � � l-=- �-'I- -oz.s•_ ,Z I � _1�3 .. _ � � ---- � . _ { _ -ice T ..l_ �_ _ r_�_ -. _ rL BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET s ? . tper's name.: KAV C --f1 S7M AA1-- A 4ELA COMI JV &S is 2. Installer's name: P1 off A Q 0 VA fJ Sip vEiPN )tel � �'�• Yfkvic- 7. What•is the mobilehome,.site circuit 3. Is the site currently under permit? Yet / / No 8. Is there (If yes, furnish permit number be served by the mobilehome ) OR Is the site an existing site? Yes /L,/ No service? ---------------------------------------------------- .(If yes, furnish two (2) plot plans.) No %. 4,. Will. the mobilehome Abe located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No . i (If, no, clarify ) ( r ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is f the mobilehome site service rating? --------------------- Amps 7. What•is the mobilehome,.site circuit breaker rating? ------------- !' d Amps` 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------------------------- Yes No %. (If yes, identify the load and size: (Load) (Amps) Q What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ------------------------------ Natural 77 LPG / ✓/ 11. What is the gas pipe length from meter or tank to the mobilehome?. U. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) MOBILEHOME SUPPORT DATA If orer than single wide,�$� i Mobil.phome Mfr. J�cy 4 /N c furnish Setup Model No. Year i 9 �z Width 3/- (ft.) Box Length / ® (ft.) Tagalong or Expando Size 0 ft. x 40 ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. ( I C) ` .— (ft.)(in:) :enter support locations* 7 r �-n (ft.)(in.) IZ x3G (in.) (in.) Center support footing sizes (in.) (in.) (in.) 131, e (ft.) (in.) r3, f (ft.)(in.) 160' 0,11 (ft.)1 (in.) X76:7,30 (in.) (in.) z`fx 3a (in.) (in.) fL x.3a (in.)((in.) Single *If center piers are other than drawn above, Footings (check one) L --j Wood either pressure treated or foundation grade. 2. Other. ( specify) Supporta (check one) �f: Concrete block. F] .2. Other (specify) �- I Z '*t 30' (a) ALL o PCI -310 4S 00 6M 4' AnlV & C-40 OF staGWFOULS Tagalong or Expando,' show support details. Ll�3a �� -PLNa --'---7 ` I%X30 PIER IZ x; a -� Typical Support UAME2 SlbEWpu in.) (in.) Footing Size IP SPAGC 4901 Ti+w -/1 o. Max. Pier Spacing (ft.)(in.) Z, o„ 1 -- Max. Overhang (ft.)(in.) SZ(_ _$2 BtME COUNTY BUILDING pUPARTMENY `APPROVED -Z-/ 7,," wit I B -UNIT; PARALLEL. TAG INSTALLATION SUPPLEMENT is 1 G ---J 6; > 6 C -UNIT C_ - 62 66 ., The site is to be prepared and the units interconnected and supported as per.special instructions for double wide set-up and interconnection (outlined in the Mobile Home Installation Manual and the Mobile Home Installation for Shingled Roofs). After tha A -unit and the B -unit have been blocked and leveled the C -unit i eco a ted to the •B -unit in a like manner (C -unit pier loads should be taken fro a 20' wide columns The -unit should be perimeter blocked ner the Mobile Home PerZmet•ar R After completing the interconnections of the units., apply closure courses of siding to the front and rear walls of the'C- unit. Install the provided inside corners as indicated below. C -UNIT CLOSURE COURE INSIDE CORNER' FACTORY SUPPLI AND FIELD APPI 4 � W O O y 3CO i c 0 :W CO �- S -UNIT FACTORY INSTALLED SIDING Fila H 4 3•Z I Vol 1 Sec. q• ILL q•S P[,. /�L Sa V V - I, G ---J 6; > 6 C -UNIT C_ - 62 66 ., The site is to be prepared and the units interconnected and supported as per.special instructions for double wide set-up and interconnection (outlined in the Mobile Home Installation Manual and the Mobile Home Installation for Shingled Roofs). After tha A -unit and the B -unit have been blocked and leveled the C -unit i eco a ted to the •B -unit in a like manner (C -unit pier loads should be taken fro a 20' wide columns The -unit should be perimeter blocked ner the Mobile Home PerZmet•ar R After completing the interconnections of the units., apply closure courses of siding to the front and rear walls of the'C- unit. Install the provided inside corners as indicated below. C -UNIT CLOSURE COURE INSIDE CORNER' FACTORY SUPPLI AND FIELD APPI 4 � W O O y 3CO i c 0 :W CO �- S -UNIT FACTORY INSTALLED SIDING Fila H 4 3•Z I Vol 1 Sec. q• ILL q•S P[,. /�L