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HomeMy WebLinkAbout005-465-001H�� j 2105 Mulberry St. , Chico �Q elat# 1835--75P E(luti—I ;-N { REEC. )$'/OCA { GAS r / SUPPORT STRUCTURE REQ. COMPACTION TEST RDQ. Permit# 3388-7:WI �7J` r issued B07-0346 005-465-001 MISCELLANEOUS Demolition DEMO MOBILE HOME 960 SQ FEET 2105 MULBERRY ST " I CONTRERAS. ROBERTM & DIANE M O r 9 I I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2105 MULBERRY ST Owner: Permit No: B07-0346 APN: 005-465-001 CONTRERAS, ROBERT M & D Issued Date: 02/22/2007 By GLB Permit type: MISCELLANEOUS 1140 MANGROVE AVE STE D Subtype: Demolition CHICO, CA 95926 Expiration Date: 02/22/2008 Description: DEMO MOBILE HOME 960 SQ FEE (530) 891-0425 Occupancy: Zoning: AR Contractor Applicant: Square Footage: CONTRERAS, ROBERT M & 1 Building Garage Remdl/Addn 1140 MANGROVE AVE STE D CHICO, CA 95926 (530)891-0425 Other Porch/Patio Total FEE INFORMATION DBMSC Demolition $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1937 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil five 02/22/2007 penalty of not more than hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, fcr the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 of the Labor Code, for I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Policy Number: Exp. Date: Contractor's License Law.). (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/22/200 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. 02/22/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. 1 agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected riz with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the abovq mentioned property for inspection purposes. I hereby certify that I am the property o am ore to act on the property owners behalf. CONSTRUCTION LENDING AGENCY � 02/22/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ® Owner Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name04_4 RM Mailing Address ? C,r/&-AJV1C�./ C?- %City City C142 G J State C,4 Zip 9.19 2-e Phone,3S3d )7 /--IJS/ZS Fax E-mail %f%/�`T&1,'101/ &_ Comeom A/wj" APPLICANT INFORMATION CONTRACTOR Name City CffjLp Address Zips W City Fax ks _ 5 30-2 State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City CffjLp Address Zips W City Fax ks _ 5 30-2 State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name d A��y Address �J City CffjLp State Zips W Phone ��4r2S Fax ks _ 5 30-2 E-mail �K 42*1 4; 3 .- -4/44-� PPL/CANT SIGNATURE X PERMIT NO. ,-1.0 BIN # PROJECT LOCATION AP#ag-- 114i 0"vv Property Address-- /0 City /ZG�1� (1i • %� fZC� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ? ry s .v Sq FT- Living 96v Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Nr1 Occ, Type Const. ��q3� �,azlo3 f 4' � a- Z �U7 . ddy 9,S54e 61AI =;-5.I.�d� iNs � l 5600 /f ljalqe�5 At'o CS'3�)S!5 —��p, Cg3�� r76, Bob Contreras Owner Broker RF/MKof Chico 1140 Mangrove Avenue, Suite D Chico, California 95926 Office: (530) 896-9358 Fax: (530) 896-9307 - Each Office Independently Owned and Operated County of Butte Ken Reimers, Assessor BOE-67-B(FRONT) (6-02 25 County Center Drive P ' Oroville, CA 95965-3382 (530) 538-7721 NOTICE OF SUPPLEMENTAL ASSESSMENT Parcel Number: 005-465-001-000 Doc Num: 2005R0035314 DATE OF NOTICE: 11/29/2005 Asmt Num: 990-242-626-000 Orig Asmt: 005-465-001-000 Situs Address: 2105 MULBERRY ST CA Comments: CONTRERAS ROBERT M & DIANE M 1140 MANGROVE AVE STE D CHICO CA 95926 Date of Change of Ownership or Completion of New Construction: 06/21/2005 One or more supplemental assessments have been determined for the property shown above. Supplemental assessments are determined in accordance with the California Constitution, article XIII A, which generally requires a current market value reassessment of real property that has either undergone a change in ownership or, is newly constructed. As shown below, a supplemental assessment represents the difference between the property's "new base year value" (for example, current market value) and its existing taxable value. If the change in ownership or completion.of new construction occurred between January 1 and May 31, two supplemental assessments are issued: one for the difference between the new base year value and the taxable value appearing on the current assessment roll, and another for the difference between the new base year value and the taxable value that will appear on the assessment roll being prepared. If a supplemental assessment is a negative amount, the county auditor will make a refund of a portion of the taxes paid on assessments made on the current roll, or the roll being prepared, or both. A copy of the assessment roll is available for inspection by all interested parties during regular office hours. EXEMPTIONS In general, any exemptions that have already been granted for this property remain in effect. If the assessee on the supplemental roll is eligible for an exemption of a greater amount, and a claim is filed for the next assessment year, then the difference in the amount between the two exemptions shall be applied to the supplemental assessment. Any claim previously filed by the owner of a dwelling for either the homeowners' exemption, the veterans' exemption, or the disabled veterans' exemption also constitutes a claim for such exemption on the supplemental roll. If no claim for any of these exemptions has previously been filed, or if you wish to file a claim for any other exemption, you may still be eligible for the exemption(s) if a claim is filed within 30 days after the date of this notice. Land Improvements Growing Fixtures Personal Prop./ Mobile Home ARABLE VALUE NET TOTAL 'CURRENT ROLL 2005. - 2006 ROLL BEING PREPARED 0 - 0 Existing New Base Supplemental Existing New Base Supplemental Value Year Value Assessment Value Year Value Assessment 9,212 120,000 110,788 4,570 30,000 25,430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0, 0 13,782 150,000 136,218 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13,782 150,000 136,218 0 0 0 R RIGHT TO AN INFORMAL REVIEW believe the assessment is incorrect, you have the right to an informal review with the Assessor or a member of the staff. You may contact the sor's Office for an informal review at (530) 538-7721 1.0.030 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LBH4249 P Manufacturer ID/Name Trade Name BROADMORE Model DOM 00/00/1965 DFS 00/00/1965 RY Exp. Date. r Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type SO477XX A156006 40' 12' 04 SFD LPT SO477XXU 156006 40' 12' Issued Total Fees Paid Aug 08, 2005 $98.00 Addressee BOB AND DIANE CONTRERAS FAMILY TRUST 1140 MANGROVE AVE #D CHICO, CA 95926 Registered Owner(s) BOB AND DIANE CONTRERAS FAMILY TRUST 1140 MANGROVE AVE #D CHICO, CA 95926 Situs Address 2105 MULBERRY ST CHICO, CA 95928 OVSING , ... I 3 0 0 ,am O �• DEVti y ` 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: 4030829 08082005- 606 r' y= - y : ; S,TATE;OF CALIFORNIA, iDEPARTMENT.OE HOUSING'AND COMMUNITY DEVELOPMENT t , t _ .'._. } t CERT.IEICATE OF" TITLE 1 + = i J t ,1 �`"� 1Vlanufactured Home , Decal No: r # + - r. LBH4249 t f n il.. r,, t ..rr 6-.1 d' r I Manufacturer ID/Name r. F r, J! Trade Name ; d BROADMORE 4 > _ ,Weight - _ Model i - , -DOM _00/00/1965 DFS 00/00/1965 ' RY t °- Exp Date 1 t 'Serial Number` f ,� - - Labei/Insignia Number } -Length i Width SPC SCC Exempt Use � i Typek' SO477XX I = - __ ' - + } ' A156006 - t ' `y 40 + - 12' 04 SFD1 PTS SO477XX0+ jI �+_ 156006 Iq j 40 12', 1 _ . Issued tal�Fe f S'p es 1 d" 11 Y � ,► Aug 06, 2005 - -771$9i8.90 l =To s -. >�r Ff 1 1t .Addressee - 1. BOB AND DIANE GONTRERAS,FAMIL J _ f + it Y `z1140'MANGROVE;AVE #D».y ± •t P ,1f CHI -d.'QA-95926 - r f _ fy ;i -, t = r rt �-= 1 i 1. tt s Y r' Ta 1 > kF 9 #r i — �a * fRegistered•I er( t 1 =, 1 _ t i ire - f= -� �BOB AUST ND E C 14A _l�I�IILY TR -- J { {x�i-11400:'AV! ° :CHICO 9592'-- f(t t, t �. „ '117— • r 1 $ -. � � 1 '_� 1 1 I '. � ` ♦ ' Situs°A +> 1 '�- 210'5ERitO -95928.1 -: ; : , _� I�_ � '" ;.. h*�• try - 1 ► � _ 7 ITY - •�tV'1-•^r^rte a-}. = is `- Y' �. �� ._ "fh� ' f. 6 i 77 — - - - _. IMPORTANT - w 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: 4030829 _ 08082005-1607, 2005-010 5314 Recorded I REC FEE 13.00 RECORDING REQUESTED BY Official Records I TAX 165.00 Mid Valley Title & Escrow Company County of I Ca,%L, But I CPMPICE J. GRLIBBS I AND WHEN RECORDED MAIL TO: County Clerk-Recorderl Robert M. Contreras, Trustee I 1140 Man I BY Mangrove Ave., Suite Chive,:: Ca 95926 09:00M 21 -Jun -2805 I Page 1 of 3 (III"IIII�III'IIII"I'I'II'III"I Space Above This Line for Recorder's Use Only A.P.N.: 005-465-001-000 File No.: 1752615A (DH) GRANS' DEED 3 The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $165.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ ljJ" x ] computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X ] unincorporated area; [ ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Barbara A. Hilger (formerly known as and acquired title as Barbara A. Martin), a single woman and David A. Hilger,.a single man and Steven D: Hilger, a single man and Samuel W. Hilger, a single man and Sharon H. Salz, an unmarried woman and William Dickey, Trustee of the Angelina Ruth Hilger Trust Dated May 7, .•199.7 , hereby GRANTS to Robert M. Contreras and Diane M. Contreras, husband and wife as joint tenants the following described property in the unincorporated area of , County of Butte, State of California: LOTS 12 AND 13 IN BLOCK 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF MULBERRY. TRACT SUBDMSION NO. 1, VALLEY SYNDICATE ADDITION TO CHICO, CAL.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH44, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 90. Dated: 06/15/2005 Mail Tax Statements To: SAME AS ABOVE ;' T46 -41S Valley Title & Escrow Company 601 Main Street • Chico, CA 95928 Buyer's Final Settlement Statement Property: 2105 Mulberry Street, Chico, CA 95928 File No: 1752615A Lot: EW 1280/EW 1281 Unit: SO477XXU Officer: Denise Hallgren/DH New Loan No: 111804119 Settlement Date: 06/21/2005 Disbursement Date: 06/21/2005 Print Date: 6/21/2005, 2:44 PM Buyer: Robert M. Contreras, Diane M. Contreras Address: , CA 95926 Seller: Barbara A. Martin; David A. Hilger; Steven D. Hilger; Samuel W. Hilger; Sharon H. Salz; Angelina Ruth Hilger Trust ' Address: Consideration: i15 Deposits in Escrow: Receipt No 4018034 on 04/07/2005 by Bob Diane Contreras Family Tr Receipt No 4019995 on 06/20/2005 by Robert M. Contreras / Diane M. Subtotal: Prorations: County Tax 06/21/05 to 07/01 /OS @$98.06/semi New Loan(s): Lender: Mission Hills Mortgage New Loan to File - Mission Hills Mortgage Interest on New Loan 06/20/05 to 07/01/05 @$16.360 _Loan Origination Fee 1.0000% - Mission Hills Mortg Loan Discount Points - Mission Hills Mortgage Appraisal Fee - Mission Hills Mortgage Credit Report - Mission Hills Mortgage _Tax Service Fee - Mission Hills Mortgage Flood Certification Fee - Mission Hills Mortgage Underwriting Fee - Mission Hills Mortgage Processing Fee - Mission Hills Mortgage Administration Fee - Mission Hills Mortgage _AUS Fee - Mission Hills Mortgage Wire fee - Mission Hills Mortgage Lender: Mission Hills Mortgage New Loan to File - Mission Hills Mortgage Interest on Loan 06/20/05 to 06/30/05 @$8.860000 Loan Origination Fee - Mission Hills Mortgage Tax Service Fee -Mission Hills Mortgage- - - 2nd Flood Fee -Mission Hills Mortgage AUS Fee - Mission Hills Mortgage Wire Fee - Mission Hills Mortgage Subtotal: - Mission Hills - Mission Hills Mortgage Title/Escrow Charges to: Mobilehome escrow fee and title search --Mid Valley Title & Escrow Con CLTA Standard Coverage 1084 1990 - Mid Valley Title & Escrow Comp; Document Preparation - Mid Valley Title & Escrow Company Recording Services - Mid Valley Title & Escrow Company ALTA Extended Loan Policy 1992 - Mid Valley Title & Escrow Compan ALTA Extended Loan Policy 1992 -Mid Valley Title & Escrow Compan Escrow Fee - Mid Valley Title & Escrow Company Subtotal: Disbursements Paid: 1/2 transfer fee to Department of Housing Fire Insurance Premium- to Bidwell Insurance Subtotal: Funds Held: Funds Held: Hold for final trasnfer - Subtotal: Initials: .00 $674.46 1. 1.312.00 75.50 50 5.37 179.96 975.00 243.75 450.00 13.90 69.00 35.00 170.00 395.00 150.00 50.00 75.00 97.46 375.00 69.00 8.00 50.00 75.00 180.00 377.50 50.00 75.00 100.00 352.00 177.50 413. 27.50 1,000.00 19.500.00 97 37 Page 1 of 2 C Continued From Page 1 Buyer's Final Settlement Statement Settlement Date: 06/21/2005 File No: 1752615A Print Date: 6/21/2005 Officer: Denise Hallgren/DH r Char a Des$cri t►on , * __.�� °" uyerClia ;esu`, Page 2 of 2 WC '4 Cash ( From) (X To) Borrower 198.56 Totals 155,500.00 155,500.00 Page 2 of 2 Y ` Page 2 of 2 J DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5 A demolition permit shall not be issued by any city, county, city and county, or state or.local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit application. Compliance with this section shall not be deemed to supersede any requirement of federal law." Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at 1YWA5W.�7" sf C'/Z� G yJ�zB (Address) (City) (Zip Code) Assessor's Parcel Number a95-- /(9DOl Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at (Address) (City) Date Signature of Applicant (Zip Code) ti i IMH Uti1. PERMIT NO. 1835-75P,E P E f M IMH UTIL. PERMIT NO. b � 3 IPERMIT EXPIRES I � WNER Sam Hilger �$ CONTR. LOCATION (A.P. xM`M 46-205-1 ) i$ 2105 Mulberry St,, Chico 1 t i Temp. Power Pole Called PG&E Temp. EIec. Serv. Called PG&E �� ` '� -47 Temp. Gas Serv. '- Called PG&E 4 I Jog o �— FINALED (Date) L (Signature 3, Electrical. A. Is service large enough to provide adequate amperage -to mobilehome (must equal ratin.- of mobilehome with a minimum of 1 amF)and other acil'`ies on lot, i, e, er pumps, garage, cabana, etc,? Yes Y No S" - B.. Is there proper clearances.around panels? Yes To C. Is power supply cord or feeder assembly properly fused? Yew No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -eenergize electrical wiring system of the mobilehome at the pedestal. 2. rTake sure that the power supply cord or feeder assembly conductors, including neutral con uctor, have been disconnected. 3. , itch all breakers and switches in.the mobilehome to the "on" position. 4. G nnect one lead of a test instrument to the mobilehome grounding conductor and. app the other lead to each mobilehome-supply conductor, including neutral. S. 11 non-current, carrying metal parts of the mobilehome (aluminum's idi-hg .' gas line, water line), including fixtures and appliances, shall be tested for continuity from 2DpOn 6 h equipment and the grounding conductor. completion. ofthe above. p-tocedure,..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 maybe approved for energizing. 10. Is job card signed by Health Department: for water and sanitation?/�- A. If 'evethin oka sign off card and to services. rY g y, gn g 'O --Z _ MOBILEHOMEDATA Manufacturer and/or.Namestyle Length c5 Z./Width 0 Vehicle. Serial No. �% % sir i� State Identification No. Additional Information or Comments: /// 9 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wPN0equired 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 3. Are footings and supports properly sized, spaced, and braced as pe proved plans? (Note possible variation at spring shackles.) (Sec. & 5083) Yes P1 No 4. Is.the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? .(Sec: 5088) Yes A,-1 No 6. Water A. Is fle . onnector of adequate size and properly installed (1/2" ID morin.)? (Sec. 5566) No c Yes o B. Test - Does water piping withstand working pressure or 50 lbs.. air test? Yes -4__ I�o C. B - If coach is not State of California approved, does station have .backflow device n r ssure-relief valve? Yes-, No 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 is'.it properly. supported? Yes L o C. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe?_. Yes o D. If a of State of California approved, does station have required trap and vent? Y 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector n more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line iiilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes `rNo 1. Open appliance connector valves. 2.Z, but off a'ance burner and pilot valves. 3. test with manometer to 10"-14" water column, or test with slope gauge (minimum Goz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. onnect gas meter to mobilehome with connector, turn on gas, test connections with soa water. C. A e all appliance vents properly installed? Yes No TO:� Building Department FROM: 'Environmental Health RE: Sewabe and/or 'Water Clearance O� dNE LOCAT ION Has been approved for: SSWAGE, DISPOSAL 4ATER SUPPLY S95-775 A . P# H t � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS1 - BUILDING INSPECTION RECORD BUILDING BUILDI,N (Cont'd) PLUMBING Setback —7� Firewall y Soil Piping Forms —7 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping zef Pier§ Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test 0— Z — —7 'Z5 Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final -7 Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRI KLERS Motors Framing Test Water Htr. Stucco Final Subpanels /(D—Z.--7 Mesh MECH NICAL Grd. Fault Prot. Scratch Heating Service 'Q -^ — 7 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath ' Ventilation Permanent Door Closer Final Final Q— — DATE REPARKS OR CORRECTIONS 09 f Qom/ � COUNTY OF BUTTE - DEPARTMENT`u OF PUBLI • WOR.KS`� UO X5 ~ 7 County Center Drive — OYovi Ile, 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. �X Date _Z/D / nature/of Permitee or A90t Receipt No. 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 OnPUBLIC WORKS ' BY - Date_�� uilding permit expires Date 7,21-1-24 BUILDING OwnerAle �� SQ. FT. • OCC. BUILDING VALUATION Mailing Address -2 /O — / Tel e one No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address��� �/ /�� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 r C 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. �� �S �� Zoning &'Planning Gas piping system 1 - 5 outlets 1.50 . Each additional outlet .30 s W Seftt4etiert- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 0' R/W P Im r p ov ents Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Apprlval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 1K ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S Gil, /O/I&Ae, 177 Main service incl. 1 meter ,5-- 7 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Jg Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y p2 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification- Misc. wiring I 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 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 is 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 $ $ 1 certify that l have read this application and state that the above information is correct. I agree to comply to all County OrdinancesETOTAL and State Laws relating to building construction, and hereby $ L4 D/( © OG PERMIT FEE $ fJ �� authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. �X Date _Z/D / nature/of Permitee or A90t Receipt No. 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 OnPUBLIC WORKS ' BY - Date_�� uilding permit expires Date 7,21-1-24 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drivp • — broviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 1% 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 re ese roitives of the County of Butte to enter upon the above -men ' ned property for in ection purposes. �v--Date Signature of ermitee or A t Receipt No. /moi White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ L5,7 V 11100 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. DIR CTOR OF PUBLIC WORKS BY 4 Date S permit expires Date BUILDING N Owner 0-,c— SQ. FT. OCC. BUILDING VALUATION Mailing Address �`�� ��� r - TelephoneN��� F i rep I ace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .3,0 d Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping •.4.5g 470 Each gas water heater or vent 1.50 �-� A. P. No. '- pZ% i �►—Z Zoni P a g Gas piping system 1 - 5 outlets i,F® .pV Each additional outlet .30 Fej&+ EQA i io Fire Dept. Fire Zone Use Permit Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Building sewer 5.00 o•b Lawn sprinkler system 2.00 Bldg. PensRecd 4 Parc Approval Plans proval Permit Fee NEW ❑ ADDITION ❑ UTILITIESK OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main .service incl. 1 meter Additional meters, each- 1.00 Sub -panel (12,r less) (morethon 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal(dd2 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole 5.00 License No.. Classification Misc. wiring I 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 Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 2 1 certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 re ese roitives of the County of Butte to enter upon the above -men ' ned property for in ection purposes. �v--Date Signature of ermitee or A t Receipt No. /moi White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ L5,7 V 11100 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. DIR CTOR OF PUBLIC WORKS BY 4 Date S permit expires Date