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028-410-084
�� ^o- �+ 8arold Q'� Dorua 12 M�iep �y, �istyOrovi�le° /4/7 ~ 3AS 4 10M]PACTION TEST REQ. 28-3&-84 . � '. - {�x�r�tz � �eiob lobile }I ChicoPermit #5310-78 1Issued — At".1'-0'9MISTY VIEWITEX MH EX SITE IPERM -'7 NOTES RESIDENTIAL 028-410-084 02-0190 PERMIT N HENDERSON, LINDA 12 MISTY VIEW WAY, OROVILL EX MH EX SITE PERM FNDN 'T'HE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS 13EEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA _ FLOOD CERTIFICATE REQ. _ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY _ USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Da Signature ./ = OK 0 = Not 6K -Not Applicable • = Not Ready - MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ . /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 GNU I �,y -5-6 ���2rtw o DJ% MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel !� 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater L 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 J V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes 0 No/Walks J Yes L) No/Planters ❑ Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-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 -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes 0 No/Walks J Yes L) No/Planters ❑ Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: "IOESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: •PARCEL ONE: Parcel 3, as shown on that certain Parcel Map entitled, "A subdivision of a parcel of land described in Book 741, Page 125 0/R and shown on R/S Book 51, Page 68, Butte County Records", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on -October 8, 1976, in Book 59 of Parcel Maps, at Page 78. RESERVING THEREFROM a right of way for road purposes as shown on said Parcel Map. PARCEL TWO: A right of way for road purposes as shown on said Parcel Map. A :o. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 02-0190 PERMIT NO. Ass`W292'- rM4 zOWV5 BUILDINGPERMIT °W"LINDA HENDERSON TE f0'52849 t�jSyy1440 SO. FT. OCC. BUILDING VALUATION 'R 77,760.00 °I""T' MMTTEVIEW WAY, ORO 95966 Corfr6 1 tt NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 77.760.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee 072 ' ARCHITECT OR ENGINEERS MAIUNG ADDRESS -$ Plan Checking Fee $ 23.00 BUILDINGADDRESS 12 MISTY VIEW WAY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other sPEclry Solar or heat um water heater Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe WorW MH EX SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 Main Service sow To 46.00 NEW CONST. DWEWNG OCCUP. CU OR ADDNS. a ACC. BLD S. SO 3.5¢FT. NO"N-RESID. T. MULTI CIRCUITS .OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FOTruREs �,0 @'.500 Ex. Occup. O ED Ro .° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE-INSPECHON 1/29/0z PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall those provisions. forthwith com:aof _ Date <��—Do� _ ign re of Appli an ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ D� IMP FLOOD CDF PARCEL _ PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have (%' By t'� OnE� PERMIT EXPIRE3 t7 the applicable provisions Resolutions to do work been paid. DateReceiptNo. 03 Date 25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..vrrrra ��yv� • t I pnone �SJU) 538.7541 :w t2/96) APPLICATION AND PERMIT PERMIT "= wsFssoR•,Rc>�wra Q BUILDING PERMIT T�SO FT. C • � � � � /" BUIL V LU .ION 7W•ras w4, ss / I �� MECHANICAL PERMIT Filing Fee 20.00 *PEPAIT FEE PAXb s �j�� Heating say i u SHERIFF _OM:K TO�t M�41W AOORtf� :Ob rrN.CT� 11 rOQ Frre lace Ventilation OTNE.R i olns ►wU.O.00Rcss Total Valuation = Ac-ff(V 04lwr.40% PERMIT FEE S uct�a! w r Mobile Home Installation Fee S Energy Inspection Fee i Filin Fee Permit Fee S S 20 00 00~T Tr►! �c..rlc+ oftodo«mrs wu,w „coa[ss 4'aa«o,OOafss Plan CheckingFee L • • RECErno J : Energy Plan Checking Fee S 0. Na sm, �t000 COi �A�tl PERMIT FEE �rw nueoNsoHsrwr �!` sur of the Butte County Code and/or Resolutions to do work PLUMBING PERMIT Eech rap N 2!00 indicated above for which fees have been paid. USEOFSTRUCTURE O Duplex O Mobilshome O Other Solar or heat. um water heater 23.00 " TO W " MTO COM M •vcc.v Water piping Each gas water heater or vent 15.00 15.00 �— PERMIT EXPIRES ON TYPE OF WORK .0w O ditin O RemodeO Cehtn0 lUtirsOea Other O Gas pi2ing system 1 • 5 outleti -",esu 15.0011- _ Buildingsowe 15.00 eacr Work N�obie Home 20.00 PERMIT FEE ELECTRICAL PERMIT Filln~ Fee 20.00 600V 0111 mss Maif ice 200A OR LISS 23.00 Meiice 30" To r000A 48.00 MEW Owalm OCCUP. OR s .cc. nos. !0 3. Styr. NEW w..nes o wlnourttT 7.50 vowln 41 Aft vs 1a2 0 Me p0. Ex. Occup. ov OR MMA E, a 1-00 aw so I Ex. OCCU0 D°1Je. OR p.ovrttrs oro u. 5.00 Temporary Service 23.00 Mobile Home Facilities - 20.00 MECHANICAL PERMIT Filing Fee 20.00 *PEPAIT FEE PAXb s �j�� Heating say u SHERIFF Hood 8.50 Ventilation OTNE.R PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee i occ 00~T Tr►! TOTAL FEE S �AAkbVNT '� • • RECErno J : r�AL —- 0. Na sm, �t000 COi �A�tl 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. "RECEzP'T NVAMM " TO W " MTO COM M By nate PERMIT EXPIRES ON t I OWNER: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 / PERMIT APPLICATION DATA SHEET - ASSESSOR PARCEL Proposed Building Us 9 fX H,Counter Technician: Date: J Items required in order to apply for a per : it. All boxes MUST be checks ed� R marked NA in order to apply. &I-1pPlot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 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! �6!M5. Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets.and_init�lla 'on instructions ,(B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter 6f 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. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Par1 g: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvem n , ❑ Draina ............................. 21. Encroachment Pe t f ryvewp� o t li W rA auction approval prior to ccup ncy). Pre -Inspection for i j(� 1"j' uired................ 519)102- 0 D 2❑ 23. Contractor's license information. (N mber, 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. anufactured home utility clearance .................................................. .. ...... ❑ 29. ti violatio d/ r expired permits ........... .... .......g ............. ....... ❑ 30. rant Deed, H. Title/Statement of Fact er from Legal Owner, 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. 01 / .-. � Applicant: Date: 1. Index permit application for the above items numbered: _ 2. Additional items r red Contractor, design wner as advised of the above data by Contractor, designer, ner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: X Plan FV Check Letter phone, L?T-mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by:—Date:- _Structural approved by: Date:_ Yellow: Building Division G' LOCATION: PRE-INSPETION DATE TO INSPECTOR: Building Description: Commercial/Usage: Electric: PRE -INSPECTION REPORT HISTORY:( ) NONE DATE:) --,-7 A.P. # ZONING: JAL (1-rAS FOLLOWS: BUILDING INSPECTOR'S REPORT ResidentiaU# of Units: 4119-1 � � � � � / G � �� Currently Occupied , �� AbandonedNacant tl/�� Yes__,.,ff'__No Electric currently On. Off r Condition of Electric Gas: Natural Propane None Currently On Oli Obvious Problems: Sanitation: Plumbing Working_ 0 /c Well Working Potable Water_(' Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspecto . Date Z 2_— —d Sketch buildings on reverse and indicate location on property. w 12/96) '% a +c s+o. •.eca wr•a 9MrK� s J 0-wowToaI WAA,►q A000910 um rw.c••a. ulAoa me-nlCT 04 IAo,K01 'CKTICT o. CAOMmII WA3rW AOOKS, .L--�«o ACOACSS / �/7 / r.0 1 sUs0lvemsAVYAC APPLICATION AND PERMIT m wwy�LJppi - USEOFSTRUCTURE O Ouplex O Mobilehome O Other TYPE OF WORK ow O dition O Remodel O UEfrOes O ,eta eau Work:, V 11h ,_ W I� Zrl PERMIT h BUILDING PERMIT KA MEM % %� VERAIT FEE PAM SRI ---- - SHERIFF OTHER s AAkbVNT REC6XWb : wREC�'T Nu�s�i � 'J l l 20 00 "'ng Tee 20 00 7.00 23.00 15.00 15.00 __L1 00 15.00 X20.00 Fre lace I Total Valustlon = Filing Fee s Permit Fee5 _ uC(ASC �O Mein Service Main Service � oOR UEis 3 To i000A Plan Checkin F00 T �w COAST. OR AooAs. Energy Pian Checking Fee S L to 3.5crT KW CO 0 .HULRouTtET PERMIT FEE S @7.50 ►AAc a wr POWV% AMAAATus is o art PLUMBING PERMIT Each Trap ovnE* or nxr Acs 7o a 1•00 6,4A..so I Solar or heat Pump water heater °" ovnEM tSto a5.00 Water piping Each gas water heater or vent Ternporary Service 23.00, Moble Home Facilities Gas piping system 1 . 5 outlets Wiri, Building sewer Moble Home I S I G; W 23.00 VERAIT FEE PAM SRI ---- - SHERIFF OTHER s AAkbVNT REC6XWb : wREC�'T Nu�s�i � 'J l l 20 00 "'ng Tee 20 00 7.00 23.00 15.00 15.00 __L1 00 15.00 X20.00 ERMIT F9E _ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 9.50 Ventilation PERMIT FEE S Moble Home Installation Fee i Energy Inspection Fee f «c ~T rft TOTAL FEES _ C . .7 "AL 10. Rts , w•I KWO I Cor r.,C& ro I PC This permit is hereby Issued under the app3cable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been pald. By Oats PERMIT EXPIRES ON PERMIT FEE I f ELECTRICAL PERMIT Flin Fee 20.00 Mein Service Main Service � oOR UEis 3 To i000A 23.00 49.00 �w COAST. OR AooAs. . NV%T occur. 14 S a. eros. to 3.5crT KW CO 0 .HULRouTtET @7.50 POWV% AMAAATus is o art Ex. Occup. ovnE* or nxr Acs 7o a 1•00 6,4A..so I Ex. Occup.�o'D°"1e• °" ovnEM tSto a5.00 Ternporary Service 23.00, Moble Home Facilities 20.00 Wiri, / ^ 23.00 ERMIT F9E _ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 9.50 Ventilation PERMIT FEE S Moble Home Installation Fee i Energy Inspection Fee f «c ~T rft TOTAL FEES _ C . .7 "AL 10. Rts , w•I KWO I Cor r.,C& ro I PC This permit is hereby Issued under the app3cable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been pald. By Oats PERMIT EXPIRES ON r.sr.....c y- 28-W-84 arold G. Burns Q -� 12 Misty View Wy, Oro�vil� - F. � � : 70-1' iPermit 4 112 -78P,E(ut:g.,MH) iELEC . 91I d I'V, nf�O A.,, n i cnC n ;,It iJ� 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 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" 1I THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 � o STEEL FRAME - SEE DETAIL "A"-!�. 1/4" STAND BASE ABESCO ABS PAD /503 36" MAX TO BOTTOM OF PAD I 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN J y COACH "C" FRAME, 2." CHANNEL 1/4"x 1- 1 /4"-----, TEK STS (2) REQUIRED 1/4" GRIPPER PLATE COACH "J" FRAME 1 /4"x 1-1 /4" TEK STS (4) REQUIRED 1/4" GRIPPER -/ 1 - _ 1/4" BASE GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED I+— 10-00-. ►{ I- 10.00 I 09, STAND BASE TOP VIEW dr ' _, • << G` far= �) .. i YT� •ice' � �.vYy Fr �1 37' TUF-1 PERMANENT FOUNDATION SYSTEM 18 1/2" ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823. r� C_ -BEAM ATTACHMENT J -BEAM ATTACHMENT 1/2" A307 BOLT (4) REQUIRED f ... 8" 1/2' DIA. HOLE (8) PLACES ........ 30" STEL FRAME TOP VIEW STATE APPROVAL 00 A 0 >f o. 4 ov. Ap U z y – U z o O —0190 BUTTE COUNTY WAYNE T. POLV Fl. . I �(<APPROVED 1 of 3 f 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" �f SNOW LOAD 100 PSF (SEE NOTE #15) 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 (D.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 SIIAII_ BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL_ LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING 10 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 LOA S; HORIZONTAL VERTICAL GUS GUARD TUF-i 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. 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-1 UNITS AS SHOWN ON THIS PAGE ,OF TYPICAL FOUNDATION PLANS, 10, THE GUS GUARD TUF-1 SYSILMS AVE 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 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 15 IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16% 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= 6MIN. /16' MAX. S= 6' MIN. / 22' MAX. - - -- VARIES 10'-70' (SEE TABLE ON SHEET #3) - ES - - S — S ................ ❑ ❑ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER E-1 L--] (TYPICAL) ❑ I—1 ❑ ED ❑ ... ❑ ❑ 11 8' NOM, 2' NOM. k 11 Z?PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) h NIL REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF - 1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. 1S, GUS GUARD TUF-I FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM AI.LOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH • 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE TIIEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. STATE APPROVAL z y z@ a o Z o z ° o N 7 0 C, 0�(..) !:i , co ��ryry O 3 ..y o cz� O - . o = Lj ye g� z O WAYNE T'. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 _ 3/4" DIA. x 18" LG. 1/1 x 3 I/2 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR \. ANCHOR BOLT (4) REQUIRED (4) REQUIRED 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM �'11t�11C-, - -- ,i AT 8" O.C. (8) REQUIRED -. illi l!! 1�IF�[fritl_. -- m� L iU":.:: _.,., {U= IIl i1 ?in�_:1_�ti-i1!1i>.,.(tl~~� !-111!! CONCRETE PAD INSTALLATION 4;`1-••rP'�-�� .,1'=U11 CHASSIS FRAME 1/4" GRIPPER PLATE -(2) REQUIRED 1/4" GRIPPER BASE •... 1�� Y 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH o tel/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO •� 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME -' ,-c., POURED IN PLACE 1 6x 1 6x 1 2 CONCRETE — , l T FOUNDATION INSTALLATION Il•1_:-- 1 ��':111��1F1i }!�:�Ititl��l!.Il:" I1�a17==11�!Ljl�ii�ill.�-�r LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION 36" MAX 1' TO BOTTOM MULTI—WIDE UNITS SINGLE. WIDE UNITS °4. OF PAD LENGTH OF HOME 24 WIDTH 26 OF HOME 1 28 40 UP TO 44 6 6 1 6 16 44'—f"to 66 1OVER T21 8 66 1 1 10 1 10 16 22 /01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN I J Com, 37., 181/2" / LENGTH OF HOME to,12 WIDTH OF HOME 14 16 UP TO 44' 6 6 1 6 16 44'-1 to 66' B 1 8 1 8 8 OVER 66' 10 1 10 1 10 10 NUMUtK Ur IUr-1 KtQUIRLD NUMBER OF TUF-1 REQUIRED :EF-- SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. • GUS GUARD TUF-1 PIERS ARE 'TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. "3► J-0, TUF-1 PERMANENT FOUNDATION SYSTEM WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 u STATE APPROVAL z i moi. 0 Q 0 4. Q 0 p O G t9 g 1a m WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 u RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 22 -Feb -2002 2002-0009095 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. ARTHUR D. HENDERSON & LINDA JANE HENDERSON REAL PROPERTY OWNER&ESSOR 12 -MISTY VIEW WAY MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP '02-0190 A. 1, 1 (530)538-7541 I D IT TELEPHONE NUMBER �,' 2-21-02 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 1978 BARRINGTON MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER CAFL2AB831091285 24'X 60' CALL 16449/50 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-410-084 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-0190 Address or location of unit: 12 MISTY VIEW WAY, OROVILLE, CA 95966 Legal Description of Real Property: A.P.028-410-084 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LINDA HENDERSON Owner's address: 12 MISTY VIEW WAY, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: CAL116449/50 SERIAL NUMBER OR V.I.N.: CAFL2A/B831091285 MANUFACTURER'S NAME: FLEE WOOD Y R: 1978 OFFICIAL APPROVING INSTALLATION: / DATE: 2-21-02 PHONE: (530) 538-7541 H.C.D. 513C CM,'No. Escrow No. 3-74131 Loan No. WHEN RECORDED MAIL TO: MR. & MRS. ARTHUR D. HENDERSON 12 Misty View Way Oroville, Ca. 95965 MAIL TAX STATEMENTS TO: Same as above LIFFICIAL RECW(;'I-= *3IJTTF COUNTY_r, . ..r S. M10VALLEY TInE q i FEB 't8 14' FEE 84- 560 9 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX$........25.,.8.5........................... XXL{, Computed on the consideration or value of property conveyed; OR .. Computed on the consideration o value less liens or encumbrances re i 'ng at time f sale. Signature of Dec grant or Agent deterinl Ing tex — Flrm Name GRANT DEED rRANSFEk FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, IAk PAID KAREN R. BURNS, an unmarried woman hereby GRANT(S). to ARTHUR D. HENDERSON and LINDA JANE HENDERSON, husband and wife, as joint tenants the real property in the XXDOGM unincorporated area County of Butte SEE ATTACHED LEGAL DESCRIPTION , State of California, described as DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: Parcel 3, as shown on that certain Parcel Map entitled, "A subdivision of a parcel of land described in Book 741, Page 125 0/R and shown on R/S Book 51, Page 68, Butte County Records", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 8, 1976, in Book 59 of Parcel Maps, at Page 78. RESERVING THEREFROM a right of way for road purposes as shown on said Parcel Map. PARCEL TWO: A right of way for road purposes as shown on said Parcel Map. STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �s1Nc Division of Codes and Standards .t.� 9'IQ Qa® ��rZ X ®,u W Title Search 3GtiiT���°a� Date Printed : 01/28/2002 DE Decal #: LAE7509 Manufacturer: FLEETWOOD Tradename: BARRlNGTON Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 09/25/1978 Serial Number CAFL2A831091285 CAFL2B831091285 Record Conditions Registered Owner: HUD Label / Insignia CAL 116449 CALI 16450 Voluntary Conversion to LPT Use Code: SFD Original Price Code: AFQ Rating Year: Tax Type: LPT Last ILT Amount: Date CLT Fee Paid: ILT Exemption: NONE Length Width 60' 12' 60' 12' ARTHUR D HENDERSON LINDA JEAN HENDERSON (Joint Tenants with Right of Sunvivorship) 12 MISTY VIEW WY OROVILLE, CA 95965 Last Title Date: 05/04/1984 Last Rea Card: 05/04/1984 Sale/Transfer Info: Unknown Situs Address: 12 MISTY VIEW WY OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: BENEFICIAL CALIF INC 459 ORO DAM BL OROVILLE. CA 95965-5714 Lien Perfected On: 04/09/1984 14:30:00 Inactive DecaUDMV: DMV SL4011 *** END OF TITTLE SEARCH.' �'� M nmyu,u Chita, CA 95928 oft CK NA 1 Id January 24, 2002 O Re: Arthur & Linda Henderson 12 Misty View Way Oroville, Ca 95965 A/C# 212400-26-112158: To whom it concern, The above customer has our permission to install a foundation under the 1978 Fleetwood, Barrington Mobile Home, located at the above address. Thank MVI C G et aylor ran Saler. ger TO'd OT:bT ZOOZ bZ upr �bS��b�O£S:xpd �dIOId3N3H. '• 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 ' for the following/location: + r' Owner w - + _ %-��/�iv •�. Owner's Address -'J Mobilehome Mfg. "f�r'�^*�"� Model ' + Year Insignia No. f + Serial No. It is hereby certified for occupancy at the above described location an may be occupied.110 Director of Public Works r Date r By ' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. 5172-78P,E PERMIT EXPIRES OWNER Harold G. Burns CONTR. owner LOCATION (A.P. 28-19-84 12 Misty View Ways. Oroville L Temp. Power Pole Called PG&E _ emp.Elec. Serv. Called PG&E r ^ emp. Gas Serv. Called PG&E JOB JOB (Date (Signature) COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) N,PLUMBING tback kewall So)J Piping Fo s Pa ets 1 Floor M n Bldg. Rest om Finish 2n loor otin s Windo 3rd oor Ste wall Siding To out Slab Roof Sheathina Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physica ly handica e. Conformance of ex. •, structure ` Appliances Gas PI In &Test Temp. as / Slab Final A Sanitation Patio JAR LACE Final Footings Footing LECTRI I Masonry Walls Throat Rough Reinf. Stee Final' PiwhirPC Bond Bea FIRE SPRINKL Framinq Test Stucco Final MECHANICAL Heatig tBw Co ng D is h entilation oor Closer Final MOBILEHOME UTILITIES ------------------ Elec. Service Water PipingC-ers Sewer BI E OME INSTALLATION ---------- ----Su ort o _ Water Piping Drainage f DATE REMARKS OR CORRECTIONS_ Water Ht Sub an s Grd. FAult Prot. Sery e emp.' Pole nder round Permanent Final Elec. Pedestal Gas Piping -� Elec. Continuity Gas Piping — (NOTE: An entry must be made on this form each time you visit the job site.) jf Y MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the-mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes v No• 3. Are footings and supports properly sized,,spaced, and braced asOPe'f' approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No s,//_ 4. Is the mobilehome level? (Sec. 5088) YeNo_ 5. If more than a single unit, are crossover *connections properly installed? (Sec. 5088) Yes ✓ No 6. Water A. Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes�No_ C. Backflow - If coach is not State ornia approved, does station have backflow device and pressure -relief valve? Yes N _ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it have minimum 4" per foot slope and �s it properly supported? Yes No_ C. Are any leaks detected in drainage system after running 3- lons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of rnia approved, does station have required trap and vent? Yes No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehomes 'ne inlet without reductions other than the mobilehome connector. Yes No l B. :Test OK as per following pro ed 7 Yes_ No +� , 1. Open all appliance con or v Ives. 2: Shut off appliance burner and pilot valves. 3. Air test with manometer to er olu ; or t with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrated in �tenth-po d ncre s. Test for 10 min, without drop. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesQf_ No_ B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Ye _ No_ D. Is continuity test satisfactory as per the following procedure? Yes 11 140 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site. _service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length If Width Vehicle Serial No. State Identification No. N q -/ Additional Information or Comments: d - 5 ' a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Orov�iIle, California 95965 _ ` Telephone: 534-4541 /D APPLICATION AND PERMIT BUILDING Owner C:J �xaA, �� r,eNS SQ. FT. OCC. BUILDING VALUATION Mailing Address 60 iICIEN 7ecC4 Telephone No. � Fireplace Contractor Mailing Address ' 4 � � �(�iv/��i� oral Valuation Permit Fee Plan Checking Fee&/or Penalty Telephone No. 3 -s Permit Fee $ ,Building Address /a v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �-j -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F sa"*Sgon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking PlansParcel Parcel Declaration Map P 60R/W ' Improvements Lawn sprinkler system 2.00 Bldg. Platt Recd Parcilcipproval Plo4.xpproval Permit Fee $ $ W ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r 7' Sw Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Single Family ❑ Duplex ❑ Mobil Home 1771 Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON RES,D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of r , %Ga i//y Llr Ex. Occup(OUTLETS OR FIXTURES) A009 ccup Ex. O ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.a&/Q Classification ��� Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's ompensation. ve placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ �� L 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. c X '�� E Date Signature of Permitee or Receipt No. 4r -W C)&-- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE $ 2a 9'0 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. De EC 0 OF PU LIC WORKS B Date Building permit expires Date COUNTY OF [3UTTE — DEPARTMENT OF PUBLId WORKS 7 County Center Drive - Oro Ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y� X �[:�//� �t� Date Signature of Permitteeor Agent Receipt No. T/���loo White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR OF UBLIC WORKS By�! Date,? -e 7 Bing permit expires Date c/ 2P "% BUILDING Owner xv, SO. FT. OCC. BUILDING VALUATION Mailing Address /aq- (� J •• Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Y 11�- 4*44Z 6e.&�-r A14Cly" Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE 4Each PERMIT FILING FEE $3.00 g, Trap 1.50 Qgpj�tgficstion Only ,.. Repair drainage or vent piping 1.50 / �! A. P. No._ < '� C/ A _S Zoning 8 lanni g Water piping 1.50 0.0 Each gas water heater or vent 1.50 S io FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declarations 'I'M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ©.00 Bldg. Plans Recd 3 Parcel royal Plan royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 • Q Main service 600V OR LESS 100 AMP OR LESS 5.00 < /� 5 L Single Family ❑ Duplex ❑ Mobil Home JZ Others ❑ Main service EA. ADD'L 100 AMP 2.50 �T V_WM FT. MINIMUM FOR MOBILES Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLING OC cup- Y` 20sgft OR ADDNS. ACC. BLDGS. / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: NEW CONSTRES'., MULTC LET NON.R ESI D, ( BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 9 NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES B �9 FIXED ALNS.style Ex. Occup. ( OUT ETS P(RESID )REA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00. Q' License No. Classification Misc. Wiring 6.25 7 -1479 /-490 �I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ SIC MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this -permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ 0-T ix TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y� X �[:�//� �t� Date Signature of Permitteeor Agent Receipt No. T/���loo White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR OF UBLIC WORKS By�! Date,? -e 7 Bing permit expires Date c/ 2P "% BUTTE COUNTY BUILDING DEPARTMENT APPROVED SC -72" 7 ? All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. A permit will 6e required for the installation of the mobilehome. IK this set of plans and specifications MU1. ST Kept on the job at all times and it is unlawful 10 make any changes or alterations on same without s written permisson from the Department of p ® ' Works, County of Suffie. eta/ 5 ft• from jIne The Bldg Setb ton s anab5cl {t• from the side P�°� 01 the road% Perini bu er }1relY mumof a 2 ft. eove overhgng Uall easements. of 2. -/? , 'ni Set of plans end specifications 6. n the job at all times MUST make any than and it is unlawful make changes or alterations on same permisson from the p �'ithov>r zrk County of Bu»e. epartment of pub* Sept;c system and location of build- ing drain stub -out to be as per Butte County Health Dept. Re - .w quirements. d` 40 17 BUTTE COUNTY,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 c. MOBILEHOME INSTALLATION SHEET T 1. Owner's name: ���=r•✓j� �.tD �� � �N � U 02 AJS 2. Installer's namd: ��r'C%%©����� 0� " s .3. Is the site currently under permit? Yes / rf— N6, / (If yes, furnish permit numbeOR sap 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.14,,L---.No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- ��J Amps 6. What is the mobilehome site service rating? --------------------- - Amps 7. What is the mobilehome site circuit breaker rating? ------------- % 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) 9. What is the mobilehome site gas pipe size? ---------------------- - - - 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /v $ (ft.) 12. 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.) r M ` . Y d MOBILEHOME SUPPORT DATA �• s- If other than single wide, / Mobilehome Mfr. . "J�ivva furnish Setup Model No.y 60 �- L� Year Width (ft.) Box Length (ft.) Tagalong or Expando Sizef-x 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. _ `N 1- R ea Footings (check one) �Y1'l 9:AILIX3 0 (in.) (in.) �J O Single � �� ��Y-Wood either . � Pressure treated or foundation grade. n er support Center support 1 ations* footing sizes (in.) ( ) Ie in.) (in.) 10 (ft.)(in.)- (in.) (in.) 'A ft.) (in.) (in.) (in.) \Vt_.)j (in.) (in.) I (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. 0 2. Other (specify) Supports (check one) Concrete block. 2. Other (specify) Tagalong or Expando, show support details. --'!Typical Support in.) (in.) Footing Size %((,f( -- Max. Pier Spacing (ft.)(in.) t� -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN` APPROVED ;