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025-310-018
M SPECIAL INSPECTION 94-06 4%20/94 CABANA, DECK, AWNING & C.P. W/0 -"`PERMITS oe COMPLAINT,70 INSPECTOR to y oy t , I r I� i I I i l I ppppw- 1! A. W. SHIVELEY /~ O� S -31tO w/s Poeer House Hill Rd.,z mi. S. of ." Palermo Rd, Permit#2915 P E(util., MH) ELEC. Vff -I SUPP RT STRUCTURE REQ dVO , COMPACTION TEST REQ. IF25- a .ONTR: Gerald L. Hall, Oroville O, I� � ermit #2301-76MHI � % Es -sued 025-310-018 94.-0415B,E HORNSBY, N4RMzAff--- 5946 POV! R HOUSE HILL RD., OROVILLE CONT: FRED PEPPER Nn DET GARAGE/ STG'', IMI��' 025-310-018 PERMTI#94-14-- HORNSBY, NORMAN ►,�y�-r�•` 8/26 ' 5946, -'POWER HOUSE HILL RD., ORO ILLE y 3' CABANA,COV PORCH kCARPORT/MH s • A '� $i 7,15 25-310-018 ` 02-2945 ORNSBY; HERMAN .&,PEG WALED ; 946POWERHOUSfHILL"� _ONT: TTERRY BARTON . , EX MH PERM FND EX SITE a" 1 , �� yl j i NOTES RESIDENTIAL - 025-310-018 02-2945 4 PE MIT NO. .HORNSBY, HERMAN.&r PEGGY_ 5946 POWER HOUSE HILL, OROVILLE i CONT:' TERRY BARTON ` EX MH PERM FND EX SITE - J THE HCD FORM 433A FOR THIS MH CANNOT BE �_ZECORDED UNTIL ONE OF THE FOLLOWING HAS SEEN 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) NSPECTOR TO VERIFY SERIAL & LABEL #'S. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i r � JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK N Readyab1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Jdists-Decking-Bracing-Stairs-Rails 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/0 -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. ;Water; Location -Test -Easement Needed (Sketch) Carports; Windows -Doors 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Electric 6. Gas; Location -Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect . 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 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 PERMANANT END SYSTEM (ONLY) 1 oning Requirements -Setbacks -Easements 0o ings; Size -Spacing -Marriage Line 3. Blocking Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected A 8. Gas and.Efectricity Tacaed 1Q,.ec-ense Decals 11. Verify #'s with Office Date 1 14 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 Jdists-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining, 4. Elec.; Receptacles and Lighting, 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 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTPAL (; Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 48. 2. -Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 49. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 60. 12. Electric Underground 61. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 62. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 63. 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 66. 17. Water Htr.; Vent -Access -Combustion Air Baffle 67. Bedroom Exiting 18. Water Pipe; Test & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 19. D.W.V.; Test Fittings & Anchor -Nail Protection Elec. Trim & Subpanel, Breaker Sizes & Labels 20. Shower Pan; Test, First Floor -Tub Access Stairs & Rails 21. Test Tub & Shower, Second Floor -Tub Access 71. 22. Gas Pipe; Sixe & Anchors 72. 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date Garage Fire Door; Swing -Landing -Closure Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ iga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 83. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 84. 32. Service -Riser Conductors & Ground Main Disconnect 85. 33. Equip. Clearances Panels-Motors-Mech. Equip. 86. 34. Clothes Closet Light -Shower Light -Spa Light 87. 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 92. 36. A.C. Ducts Insulation & Support 93. 37. Vent Fan, Exhaust above insulation 94. 38. Condensate Drain & Overflow, Size & Grade 95. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 96. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing •. . .4i.., Tingle & Duplez) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht: & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. • Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House , 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -'Electric. ;. 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: .-COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephon (530) 5 8-7541 (Rev. 12/96) ,. APPLICATION AND PERMITk9,,1"OL Z ASS SSORPARCELNUMBER 025-310-018 ZONING BUILDING PERMIT '� • HORNSB TELEPHONE - SQ. FT. OCC. BUILDING VALUATION .s R 72 570.00 . OWNERS MAILING ADDRESS 5946 POWER HOUSE 14TTI, IRT)_ OROVILU CONTRACTOR'S �NAME 1 L Lel\ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Q Permit Fee 518 2 $ 259.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9946 POWER HOUSE Lill I RD-, QROVIU�E Energy Plan Checking Fee $ 23.00 PERMIT FEE $ .302.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM F[AD EX SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 1 .00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 R LES 600VMain Service 2p.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 Main Service zoOA TO lOooA 46.00 NEW CONST. DW %NG OCCUP. OR ADDNS. ( a Acc. BLOS. SO 3.50 NON N•RESID. MULTI.O CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 Q 1'00 BAL @ .50 Ex. Occup. . E' N p °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �"e—reaction Il C PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation law of California, and agree that if I should become subject to the o ars' compe ation provisions of section 3700 of the Labor Code, I shall f with cc pl ith those provisions. X Date Sign ura of A ican - Owner Contractor ❑ Agent An OSHA permit rrequired for excav ns over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 352.00 HAZ. __ p. FEES IMP _______ FLOOD ____ CDP __ PARCEL ____ HD ISSUE X This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 6 D. Date Receipt No.F.LL1 A5 X352 RR WHITE-D.D.S..B CANA�Y-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,► .��, COUNTY QF'BUTTE-DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINHIVISION +ti+jam7 County Center Drive, Oroville, CA 915V965 -Phone (530)538-7541 Fax (530)538- 40 PF,RMIT APPIR7ATIn - N DATA SHEET i PARCEL NUMBER )sed Building Use' ' / N / 1141 I"= ,Counter Technician:Date: A �. is � quired in order to pply for a 1 ermit. All;boxe i MUST be checked O m�,edAin order to apply. .Plot plans, 3 or 4 sets, signedky the preparerof 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. Engineered truss details and layouts in duplicate. No faxes! nergy compliance design and supporting documentation in duplicate. anufactures: (A) Data sheets and installation instructions, (B) Marriage he information, (C) Floor Plan, (D) Tie down or r j ®mgs: 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.` t y'..Date Received By ❑ ,8 Flood -Elevation Certificate, wet -stamped and signed, in duplicate ...........::.................. -09�'Plot'plan and Business license approval from the City of Biggs........ X ...................... _ 10 Letter of intent for non-residential buildings ............................. t«,❑ 111.i0etached'Accessory Building Form filled out by the owner T ........................... n :,.g❑N12: Hazardous Material Form ......................................... + _ G ' ❑ ' Other IRemaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) I j4. ,1 .1 • ❑ 14. Fees; A shown on the attached Schedule of Fees Due Sheet ....................................... 0 15. Stat ment of Intent for Non -heated and A/C Buildin i s ............... 2 • g .......................... ❑ 16. Sanitation and plot plan approval from the Environmental Health Department i'n ❑ 17. City of Chico Plumbing permit....... ...................................................... :.... 1 ❑ .18' California�Department of Forestry plan approval ❑ paid. Sent by: .. ❑ 19. Planning approval for (A) Use: (B)Parking: - (C) Parcel Check: ❑ 20'• Contact Land Development about, 11 Improvements, ❑ Drainage............- ...:........... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction=approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ O` 23. Contractor's license information. (Number, Name Style, Classification)... ! r ................ ❑ 24. Worker's Compensation Carrier and Policy Number..............:.........0..................... r. 0x,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 ..............: D s v/C �................../ P❑- 29. Existing v�olati0 s and/or,expired �ermits.Dtl �........ "......: ....................�........ � � Q ❑ 3rant D �.�H..e/Statement of Fact ett r from Legal Owner, C�}'Check to H.C.D. $ //(% ;? ❑ 31. Other:' L� "M it When issued Te�ep o e 1 and hold for pickup. I have been info e of the 1 Applicant: c.Q ;and requirements for obtaining a building permit. Date: ��/ C7 1;V1 1 1. Index permit applicationlfor the above items nu, �nbered: Plan Check Letter 2. Additional items required �/ , Contractor, designer w , as advised cf the above data by phone, ❑ mail, ❑ counter, by 'Date: ho 3o O -7— Contractor, designer, owner, was advised of the abo e d to by [I phone, ❑ mail,, ❑ coun r, y Date: Plans reviewed by: 1h- Date: 3o r1 L Plans approved by: /; f & Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PRE -INSPECTION REPORT OWNER LOCATION.�� J I CONTRACTOR PRE-INSPETION DATE TO INSPECTOR: OY 2) 1(11-6--1 PERMIT HISTORY:( ) NONE —OAS BUILDING INSPECTOR'S REPORT DATE: i G� A.P. #_ 6QS :2j) & 61� ZONING: Budding Description: Conunercial/Usar: Residential# of Units: Currently Occupied Abandoned/Vacant Electric: 150 Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing W Well Workin Obvious Sev Potable Water ACTION RECOMMENDED: LSSUE: V HOLD FOR Date ` V --�– f Sketch buildings on reverse and indicate location on p"ropert 330 tAk Me4li\gs Nar�N�aY i4 as_3� = S owE o ® - �L:T- 3 6 6 , `. it A PM i 4.,':i. + I _ _ 1 ® - �L:T- 3 6 6 , `. it A PM i 4.,':i. + I i RECORDING REQUESTED BY: WfIEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive. Oroville, CA 95965 COPY of Document Recorded 11 -Feb -2003 2003-0009091 Has not been compared with original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE UNIT DESCRIPTION ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON NOVEMBER 19, 2002, UNDER SERIAL NUMBER 2002-0062764. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. •-" R&ORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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 Teal 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. NORMAN W. HORNSBY & H. PEGGY HORNSBY REAL PROPERTY OWNEWLESSOR 5946 POWER HOUSE HILL ROAD 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") MAI.ING ADDRESS CITY COUNTY STATE ' ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 02-2945 530 538-7541 BUIL9INC.PERklIT NO. TELEPHONE NUMBER T1/15/02 S3GN11rTrRVOFIbCAAGErqaAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. HOMETTE 1976 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEJNUMBER 0375A/B6614 56'X 24' 238537/244569 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA& ABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER #025-310-018 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. # 025-310-018 All that certain real property,situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 4, as shown on that certain Parcel map which map was filed in the Office of the Recorder of the County of Butte, State of California, on April 24, 1985 in Book 99 of Maps, at page 23. PARCEL B: A non-exclusive easement for road and public utility purposes over Parcels 1, 2 and 3, as shown on Parcel Map filed in the Office of the Recorder of the County of Butte, State of California, on April 24, 2985 in Book 99 of Maps, at page 23. PARCEL C: All the real property situated in Sectionll, Township 18 North, Range 3 East, M.D.M., Butte County, CA , and being an easement for road and public utilities purposes over the following described parcel: A strip of land 30 feet in width, lying Southerly of the North line of that certain parcel deeded to Linda Leighton on May 31, 1981 in Book 2621 of Official Records, at page 635, records of Butte County, California. PARCEL D• Easements for drainage being 5 feet and 10 feet in width, as shown on Parcel Map filed in the Office of the Recorder of the County of Butte, State of California, on April 24, 1985 in Book 99 of Maps, at page 23. Assessor's Parcel No.: 025-310-018 k,FOUNDATIONtSYST.EM. ` CERTIFICATE OF, OCCUPANCY BUILDING PERMIT NUMBER: 02-2945 Address or location of unit: 5946 POWER HOUSE HILL RD., OROVILLE, CA 95966 Legal Description of Real Property: A.P # 025-310-018 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: NORMAN W. & H. PEGGY HORNSBY Owner's address: 5946 POWER HOUSE HILL ROAD, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: 238537/244569 SERIAL NUMBER OR V.I.N.: 0375AB6614 MANUFACTURER'S NAME: HOMETTE YEAR: 1976 OFFICIAL APPROVING INSTALLATION• (66C, AW/y DATE: 11/15/02 VT PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLB CA 95965 COPY of Document Recorded 19 -Nov -2002 2002-0062764 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE TffiS 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. NORMAN W. HORNSBY AND H. PEGGY HORNSBY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 5946 POWER HOUSE HILL RD. 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, -rite"SAME*) SAME MAMING ADDRESS 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2945 (530)538-7541 G P NO ll TELEPHONE NUMBER L� t� 11-15-02 SI TURF OF LOCAtGENCY OFFICIAL DATE N NE DEALER NAME (if not a dealer sale, write'NONF NONE DEALER LICENSE NO. CITY COUNTY STATE ZIP UNTr DESCRIPTION SKYLINE 1973 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 02751221 64 X 12 MH98960 SERIALNUMBER(S) LENGTH WIDTH INSIGNL 4-ABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 025-310-018 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept ,r. FOUNDATION SYSTEM rr i: y r CERTIFICATE OFA OCCUPANCY BUILDING PERMIT NUMBER: 02-2945 Address or location of unit: 5946 POWER HOUSE HILL RD., OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 025-310-018 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: HERMAN AND H. PEGGY HORNSBY Owner's address: 5946 POWER HOUSE HILL RD., OROVILLE, CA. 95966 INSIGNIA OR HUD NUMBER: MH98960 SERIAL NUMBER OR V.I.N.: 02751221 MANUFACTURER'S NAME: SKYLINE OFFICIAL APPROVING INSTALLATION DATE: 11-15-02 PHONE: (530) 538-7541 H.C.D. 513C /1 EXHIBIT "ONE" Order No. 405366 PARCEL A: Parcel 4, as shown on that certain Parcel Map which was filed in the office of the Recorder of the County of Butte, State of California, on April 24, 1985 in Book 99 of Maps, at page 23. PARCEL B: A non-exclusive easement for road and public utility purposes over Parcels 1, 2 and 3, as shown on Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on April 24, 1985 in Book 99 of Maps, at page 23. PARCEL C: All that real property situated in Section 11, Butte County, CA, and being an easement for Township roadandand publ ctill es purpos se 3 , oven he following described parcel: A strip of land 30 feet in width, lying Southerly of the North line of that certain parcel deeded to Linda Leighton on May 31, 1981 in Book 2621 of Official Records, at page 635, records of Butte County, California. PARCEL D: Easements for drainage being 5 feet and 10 feet in width, as shown on Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on April 24, 1.985 in Book 99 of Maps, at page 23. Assessors Parcel No: 025-310-018 101-1 600/600'd Odq-1 981081916 PACwdad at Va PAquM d Aw Veft mb a Cimplow 94'0:0.161 EwmwNL IWMA" UMNo. wm Isamw* MALT* 94-0002611 I Rea Fee -9.00. IOOC NORMAN W. NORNM RtaordedI Check K PEGGY HORNSBY OffICI&I Records I 5948 POWERHOUSE HILL ROAD .County of I OROVILLE. CA 95965 Butt* .1 Candace J. Grubbs I Recorder A STATE OF CAUFONVA I 00UfM OF Ir On bib* Pw-nW'v ameww PW*Onwv.bww" to Ko (or p lo.nw an bead "Mmlis)- 10 be ft pwoom') WWI) WAM SUbWrbW.b-jhq 'Athh ftVymw*and ma nMMdpd 10 no aw twig we" 4,94clAW chi "MO In NOW/GNO &Wwftod cp,*0(jQ. SM Cwt bv 00ratuf044 an ow kwbtvrwg a* pww(s) or V4 &" up= *hW Vw pwmfs) IdK UOW§d Vw.Mownft MMESS n ww md dkW "d P 94-002-61 ORDER NO. BU -238597-3. DEBCRXPTZON ALL THAT CERTAIN REAL -PROPERTY SrXUATZ IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FO LL40WS: PARCEL 4' ' AS SHOWN ON THAT CERTAIN PARCEL HAP, RECORDED IN -TIM P OF -THE RECORDER OF THE COUNTY OF OFFICE ON. APRIL 24. BUTTE, STATE OF -CALIFORNIA, 1985' 1 BOOK 99 OF MAPS, AT' PAGES) 23. WSZW SEMEN!i FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 2-2 AND -3, AS'SHOWN ON WO IN THE *6VF ' THAT CtRTAIN:'-PARCEL MAP "TitE RECdRDEjj-' ZdE* OF _�67 TH 1 -00 APRIt'24- -COUNTY F BUTTE tOT-AtE OF RECORDED E 19850 IN BOOK i9- OF HAPS, AT PA�dE(Sj .23. L ALL TRAT-REAL PROPERTY, Tualprn IN T= -.CO TOWN . :' - SHIP is. Noitts ROAD -.:AND" C.:r* =.n - COUNTY, CA. AND BEING. .... .. IT• p.], ft .. PURPOSES . .. A . AN EAS PURPOSES OVER THE FOLLOWING' DESCRIA STRIP OF .iAND BED -:44 'FEET .IN WIDTH LYING. s PARCEL DEEDEj) TO-Lj -- OUTHERLTOF'THE NdRTjtLINE .- NDA--I&-XGifT0N on A3$.;i �`;DFk-CIAL' RECORDS MAY 11" lgral AN= ROAD D r8=II4=. PURPOSaSON,OVER ANDUNDERj-4ORERICY DESCRIBED AS 'Foi=ft.. -:BEGXNlf m_- -.7. THE BEST SOUTOEASi--.1/t -.OF �,SjCT- OF. THE' SOUTHEAST V4 - OF TjjE X. -D X THEN' ION TOWNSHIP Cg:*P:AST E* RANGE. 3 . FAST - .4 SOUTHEAST ALONG THE NORTH LINE •OF , ... #- SPUTIMAST l/4',..j�ORjj -THE SAID' S' OUTHEAST TO -POINt' ON A,..-Nou.�TANGENT DEG. 17'. 41" 'EAST, - '1-60.66 FE -ET POUT.,60 S CURVE BEARS THXRAb±U'i' POINT � .. .AID. '" '' CURVE CONCAVE NORTHERLY,' SOUTH 8.9' DEG.. 17.' 4 i n S WESTERLY ALO 50.00-.#EET. THENCE .SOUTHERLY AND 'WE -s WEST, .50 FEZt;:A:,C` �'77 ALONG .}WING: A - RADIO Lis OF. 180 or FEET THE PO4M -OF*: THE ARC LENGTH 0 .. WHICH -BEG' F -1-S. 157.'08 ON THAT 'CERTAIN PARCEL MAP. AND 10 FEET IN WIDTH; OF TNE' •COUNTY Og• • RECORDED IN THE OFFICE DF THEAS SHOWN RECORD'' BOOK 99 'OF MAPS; ABTrpAGE(S)T23 FCALIFORNIA, O;' APRIL 24, ER 1985, In STATE OF CAUFOR"111' COONTY OF ORANGE On DEMMER 17 1993 j_ before• PAULA C. HEWITT penonsxy appimed ***SANDRA K. 'MORRI.S#** to ffw on Ow basft ol wtroes n&M(pi #Wap6.kjbW"d go &W W*m -wect" OVO&VO) to be ffm pemon(s) inatww" and wknowwgw to f rail "w that 101811 1h execyled ftwe same in $roher-M" OUVWated Cewity(os). and that by VV`hwA*1 imanahae(p) on the instrumem the perwf.) or theC" up b of wakld the on ow Pm0nj0) add executed the mstr~4 WITNESS Lmnd and of"ficial sseal PAUi CC; H�WrTT Signatu c **TO BE. ATTACHED 'TO GRANT DEED ONLY" END OF DOCUMENT r S i RESIDENTIAL 025-310-018 PERMTI#94-1426 HORNSBY, NORMAN _ 5946 POWER HOUSE HILL RD., OROVILLE i a CABANA,COV PORCH &""CARPORT/MH 9�- 0411 i a 1 I JOB FINALED ("We) Signature V=OK O = Not OK Not = Not Readyable 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; ocation-Test-Fall-C/O Concrete 4. W er; Location-Test-Easement Needed (Sketch) Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / P11t. / /"Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date "MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector f 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card-13-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDE FLOOR (Plans) OK except ti's 4e2on Q. Fig., Main; Soils-Elec. Grnc.-/ /" Ftg -Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab .Steel -Wrapped iers-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. P' nums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date P UMBING (Permit),OK except a's it. Water Htr.: Vent -Access -Combustion Air -Baffle Water Pipe: Test & Anchor -Nail Protection D.W.V.: Test -Fittings & Anchor -Nail Protection Shower Pan: Test, First Flocr-Tub Access Test Tub & Shower. Second Floor -Tub Access Gas Pipe; Size & Anchors Date Card B1 ---- Date - Card B-1 ------------------------------ Date Card B-1 Date Card B-1 Date ELEC L (Permit) OK except a's Fixture & Transformer Clearance -Ins. Protection ------------------- -- - ----------------------------------------- ----- ----- lec. Receptacles Spacing -Lights & Switches at Doors --------- -- - - - - --------- - ---- -------------------------------------- - ze Boxes & No. of Conductors -Stapled 25. Ro Installed Close to Edge of Studs & C.J. - - - ------------ - --- - - — - - - - — - -- -- -- -- --- -- --- ---- -- -- ----- - -- ---- - ----- �7f�2�/ Equip. Ground made up w/fviech. Fastners-Bond Gas & Water // ------ -- ------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---------------------------------------------------------------------------- 2C. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At - - --------------------------------------- 29. Range Circ / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - - -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- ----------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Li-ght-Spa - Light ---------- ---------------------------------------------------- ----- - ---- - -- -- 33. Smoke Detector ------------------------ --------------------------------------------------------- Date --------------Card-----------------Date------------- Card -B-------------- Date Card B-1 Date Card B-1 Date M CHANICAL (Permit) OK exceot ft's 3A.C. Ducts Insulation & Support ----------------------------------------------------------------------------------- 3 Vent Fan: Exhaust above insulation ------------ - ---- --- ---- - -- -------------------------------------- 3 Condensate Drain & Overflow: Size & Grade 3 .-Furnance_Vent_ Access_Comb_Air_Return Air Vent -1 -15 -outlet -- Atlic Access & Platform - Furnance m Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B_1 - ---------------------------------- ------- Date Card B-1 Date Card B-1 Date FRAIVIJU (Plans) OK except n s Sils oper Mater ial & Anchors 4 Studs -Nailing. Spacing & Bracing -Plates -Sound - - �Be - -alls over Girders & Floor Nailing --------------- ------------------------- 4p in Walls (rat proof) - ----- --- 4 ire ps: Furred Ceilings -Stairs -Chases -Tub ---------- - - - - --------------- 44 eaders & Beam -Size & Bearing tingle & Duplex) Date MING (Continued) ---- Ha _S -Post Caps -Anchors -Connectors OW"C-Ing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. -+-�- Price Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4�-8dcrrr'Windows or Exiting Doors -Sill Hgt. & Dimensions 50_6afage•Fire Protection Framing ------- -. roperty Line Firewall & Openings 5 _ xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ rs idth-Headroom Rise -Run -Landing -Fire Protection --- ---- 54--ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 iding-Nailing Veneer Mesh -Drip Screed -Fd. Vents-Underflr. Access �% ---_ Glazing Area -Glass Protection- ylig lastic r V Walls; Nailing -Bolts ------- Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------- -- --- ------------ Dat ,4 _Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA Plans) OK except a's Ext.ps Door &Sidelight Protection -Landings ----- ------ -Smoke Detector — rnace en s=Clearance-Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------------------- 64--BeDtaum-E-x i t i ng ------------------------- --- a tures & Tub Access -Spa ------ -- Cit��Ete�c. .rrf 'Subpanel; Breaker Sizes & Labels 6. SY tairs & Rails _ ---------------------- ----------------- Clearances-Hearth ------------ --------------------- - &4-&ec'-6atlets-at Wood Panel; Int. & Ext. ----------------------- 70.-KA,Nxt _R 1 Ap.pance; Grnd.-Air Gap -Cooking Clearance ---------------- 73,-€lee--6ntleis& Receptacles at Kit. Counter 7e.--Fire•Door: Swing -Landing -Closer ,76. -east in Garage -Damper ------------------- 7" ts-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection zs o fl 4Apch. Equip. Listed for Location ec. Receptacles in Garage; (G.F.1.)-Romex Protection 7-�ion-Foam-Looked in Attic ❑ Yes -------------------------------- — uard Rails & Deck Construction -Post Caps - --------------------------------------- 76--F8n Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes euewin insild.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Plan LO es ❑ No ----------------- __1 Finish -- Unit; Disconnect. Electrical. Plumbing ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----------- 8� . eter isconnect, Electrical, Plumbing - xter' •Elec. Trim: G.F.I. Receptacle -Underground d!3'Tentilation Throughout House - - - - -- -- a_ss Protection ------------ --------------- rections from Previous Inspections - -------------------------- 07T77sTMeters Tagged: Gas -Electric -- -- ater & Sewer Connected -C/O to Grade -HD Approval hergy Compliance Certificate -Other Certificates ------- ------------------------------------- --- Date Card B-1 Date Card B-1 y------ --- -- - -- -------------- -- ----- ' - --- ------Date — _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 - Oroville, California 95965 - Telephone (916) 538-754j,� PER IT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , 025-310-018 U ZONING BUILDING PERMIT OWNER NORMAN HORNSBY TELEPHONE 533-9413 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5946 POLDER HOUSE HILL RD 144 R 7,776.00 CONTAACTO R'S NAME 1� TELEPHONE 72— V D 3• CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 17 AM. 00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 189.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 122.85 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5946 POLDER HOUSE HILL PERMIT FEE $ 331.85 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome WOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ 20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities O Installation ❑ Other Describe Work: CABANA, W PORCH & CARPORT aV & FED �rA / // �� l- PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. I a ACC. BLDS. ) SO - 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) J>� I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Y.N.t❑ This permit is for $100.00 (valuation) or less. 1 shall not employ any person inanymannerso asto become subject to the Worker'sCompensation laws of California.Hood ficeto Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 5 .00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to uction, and hereby authorize representatives of the County of Butte to enteabove mentio d property for inspection purposes. buildginsequenc I alo save, inde n fy and keep harmless the County of Butte against all liabients, costs a d expenses which may in any way accrue against said C of he granting of this permit(1`� X Dat -- �—This gnp lic nt ❑wner ❑ tractor ❑ Agent An OSHA permit S required for exc tions over 5"0" deep and demolition or construction of structures over 3 stories height Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 85 HA2. D. FEES IMP F�f� COF PARCEL PD HD ISSUE 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. BYArd.:����" ✓ Date ✓jD PERMIT EXPIRES ON (betel Receipt No. 163117—&4,85- 63117 " a 8S 0 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION , DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico,,CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 Q 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE fey ;. OWNED PERMIT NO. - A rout ne inWee6on indicates that the following violations of Butte County Ordinances exist at . • the above address and should be corrected. Please notify this office when correction of work iccorr~-Ifyou have any questions pertaining to this matter, or need additional explanation, please this office immediately. to f!h'e-n5V ccs - " /1 )CI� -� Date Inspector REV 101 t. . r. i 9• COUNTY OF BUTTE - DEPARTMENT OF Wt"LOPMENTSERVICES - BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLF-CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLICATON DATA SHEET yOWNER A. P. No. �� Proposed Building Use srJ'(4 ea' 'Building Inspector Date _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 10 items h e been submitted . ............... ...... lot plan signed by preparer of plans. 3. omplete plan sets, signed by preparer of plans. ... .. ..��. 11-� 4. Engineered plans and calcs, 3/4 sets, with wet signature on lans. ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings ....................... t 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and m ufactur r����((�� II on instruct(ons, 2 sets. ...........(. 7�U���L Fees of $ � f � 90 ............................. 11. Impact fees as 'shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. .. .......... '. 4. Sanitation and plot plan approval . 1�)eQ Health Department. 15. City of Chico plumbing permit. ....... .................................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. f 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre Inspection request 20. Pre -inspection for required. .. to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ........................`. . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed -of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .............................. _ ......... . 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................:. . 32. Plan check list . ..................................................... 33. 34. a When you issue the permit, process as follows: Mail to owner ✓- Telephone S33-jyj 33nd hold for pickup at 4:a. Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Copy of plans sent Health Dept. Fire Dept. Other The following data must be submitted n to P ermit for above items No. 2. dditional items required: Contractor, design�f, Contractor, designer, Plans checked by \ ,Awas advised of above , was advised of above Date _ Sets of plans on hold in (le cabinet Copy - Department of Public Works Mail to Air Pollution Date Date ance: (Circle new item not ch( !h � A data by _ phone _ mail ed d&Xy _ phone _ mail ans approved by AP folder ractor. Deliver with inspector. Date�9-�� n' By I above). Counter by _ Date Counter by _ Date { r a -r fs Buil&lig Deljrtrtljlcnt FROM: Envirotimcmal Health SUBJECT: Sanitation Clearance I'Iou flim Auurhed Soul to 11: U: �',. •, — Owner Location AP# LO Plan Approved for: Sewa-e Disposal Watcr Supply: f Public/ p _ Private Well or Other �c d oh 6L Hold final for: Final clearance O.K. for: NOTE: Environmental 8/92 ealth Specialist 01",L� (:2 . f Date _ ' J J J3 J t� 4- v � 9 �I _ J3 cr o cn m tQ U E � ti S 7330 M# MpdrhAs wL15Y A r #- a,!;- 'a � 330 i i pRoe�s Lo 1;0x 14 ALP^ 11,& -AA GAR Po RT t&%STIwsb 4Ar ]a I�rC12 (Zdr osEO xis?iNw u1 PQQ C, -\'LN\ N n p a � �s 330 i i OWNER A. GENERAL MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE 7/85 Bldg. A. P. Permit # - # a _ _. c9 Zoning requirements (sideyards, parking, special conditions, Planning approval). /2! Valuation.. Signature by R.C.E., Architect or Building Designer. improvements and drainage -- Land Dev., DPW; City of Chico; City of Biggs. omplete plot plan with dimensions, easements, other buildings, and other per- tinent data. ___.6.�ee previous permits and plans in file for expired permits, change of use, violations, etc. ��Flood hazard. B. OCCUPANCY REQUIREMENTS �.Building use �� _--Z-.Occupancy Class Type of Construction fir- wilding floor area sq. ft. Occupant Load Total allowable floor area sq. ft.. Basic allowable floor area sq. ft. Basis for increase Compliance with occupancy group requirements (Chapters 6-12). �'Occupancy separations (Sec. 503). -- Area separations (Sec..505). -8: Firewalls due to location on property (Sec. 504). �9. Maximum height requirements (Sec. 507:). ,1"8 --Attic separations (Sec. 3205). LL Ventilation and special hazards requirements (Chapter 6x12). ,-1-2-.- Fire extinguishing systems, 20 sq. ft. opening/50 linear ft. (Chapter 38). Fire alarm systems (09 Sections of Chapters 6=12). Mechanical code requirements. (Grease hood w/fire sprinkler system - Chap. 20). ,3'5 --._Health .Dept. Plan Review - (1) Restaurant Act; (b) Commercial Pool. X14-. Smoke detection system. L7-. Fire Dept. Plan Review and/or Fire Marshal Plan Approval. !]8:' Electrical Code'Requirements (Pools or hazardous occ.) (Art. 680 & 500's). 'Physically handicapped requirements (State Law). C. TYPE OF CONSTRUCTION REQUIREMENTS 1. Fire retardant roof coverings (Sec. 3202). 2. Parapet walls (Sec. 1709). 3. Toilet room floors and walls (Sec. -510). 4. Physically handicapped (per State Law). 5. Guardrails (Sec. 1711). 6. Detailed types of construction requirements (Chapters 17-22). 7. Proper roof pitch for roof covering (Chapter 32). 8. Attic access and ventilation (Sec. 3205). :9. Roof drainage (Sec. 3207). 10. Skylights (Chapters 34 & 52). 11. Stages and platforms (Chapter 39). 12. Interior wall and ceiling finish (Chapter 42).. 13. Fire resistive requirements (Chapter 43). MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE (CONT -D) 7/85 C. TYPE OF CONSTRUCTION REQUIREMENTS (CONT'D) " 14. Wall and ceiling coverings (Chapter 47). 15. Glass and glazing (Chapter 54). Human Impact (Sec. 5406). 16. Building Materials - Check: Grade, Species, Allowable Stresses, ext. or int. -- Example: (Glu -lam Beams w/cert. 24F ext. grade). 17. Foam plastics (Sec. 1712). D. STAIRS, EXITS, AND OCCUPANT LOADS 1. General Exit Requirements (Sec. 3301 & 02) (Post occ. load, etc:). 2. Number of exits, width and locations (Sec,•3303). 3. Doors (Sec, 3304). 4. Corridors and exterior exit balconies (Sec. 3305). 5. Stairways, rise and run, width, winders, and construction (Sec. 3306). 6. Horizontal exit (Sec. 3308). 7. Exit and smokeproof enclosures (Sec. 3309). 8. Exit signs and illumination (Sec. 3313 & 14). 9. Aisles and seating (Sec. 3315 & 16). 10. Exits for occupancy groups A-E (Sec. 3317 - 3321). E. ENGINEERING REGULATIONS, DESIGN QUALITY MATERIALS AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plans must include plot plan, floor plan, foundation plan, elevations, and complete structural details. 2. Energy design, ca cs, an necessary details (State Law) & compliance statement on plans. , 3. Veneer (Chapter 30). 4. Chimneys and fireplaces (Chapter 37). 5. Plastics (Chapter 52)._ 6. Excavation and grading (Chapter 70). 7. Continuous or Special Inspection (Sec. 305). 8. Factory or other certification. j 9. Soils -or compaction data. ` 10. Noise regulations. 11. Footing reinf. Min. Two #4 bars (cont.). 12. E gineering-Calc(s) should include: (a) Roof - Ceiling. (b) Floor - Ceiling. (c) Foundation. (d) Walls -- Large openings? (consider lateral). (e) Lateral: (1) Roof Diaphram. (2) Shear Walls. (3) Anchorage & Tie -Downs. (4) Connections thru-out. (f) Retaining Walls. Insulation Certificate BUILDING OWNER: Norman Hornsby BUILDING PERMIT #: 94-1426' BUILDING LOCATION:' 5946 Power House Hill Rd. Orovi 11'e, CA 95965 Description of Installation ROOF r Material ( ,Q Brand Name ��2vryy Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's'minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name �!/YkJ�✓ee Thickness (inches) %' Z " Thermal Resistance (R -Value) [ 3 RAISED .FLOOR Material Brand Name Thickness (inches) (d" Thermal Resistance (R -Value) g [ 9 SLAB FLOOR Maw^.Yl Thickness (inches) Wid!h (inches) _ FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Califorttia Administrative Code. Sierra Mobile Service & Supplt Gen al Contractor (Builder) Signature and Title 470386 License Number 8/94 Date Sub -Contractor (Insulation Installer) License Number Signature and Title Date 111IS CERTIFICATE MUST BE PROVIDED TO 111E 13UILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN '111E BUILDING. JANUARY 1993 40 RESIDENTIAL 025-310-01.3 94-0415B,E HORNSBY, NORMAN 5946 POWER HOUSE HILL RD., OROVILLE CONT: FRED PEPPER NEW DET GARAGE/STG 3 . t n JOB FINALED (Dat _ Signature J=OK ` O = Not OKNot 'u = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plaris) OK except #'s 1. Zo ' Requirements -Setbacks -Easements v 1. Zoning Requirements -Setbacks -Easements . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 6 F 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rail 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /" L"ft./ /"LPG ectric -3-FrrtTg-Si I s-Anc h ors -Stu ds -R ft rs-Trusses 7. Well Clearance & Disconnect "ding; Nailing -Veneer -Stucco -Mesh . Roof' hfhg-Roofing 8. Utility Clearance t.; Steps -Doors -Landings 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. Setbacks -Easements ' 1. Zoning Requirements -Setbacks Easements 2. Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Gas; MH Test -Demand -Valve -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Elec.; Pool Lighting; 15 volts-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test -Regulator -Connector 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 8. Gas and Electricity Tagged Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 9. Health Department Approval 10. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 .y MISCELLANEOUS Date DE S, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zo ' Requirements -Setbacks -Easements v . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 6 F 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rail 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors bET ectric -3-FrrtTg-Si I s-Anc h ors -Stu ds -R ft rs-Trusses "ding; Nailing -Veneer -Stucco -Mesh . Roof' hfhg-Roofing t.; Steps -Doors -Landings Date Date/'Card ' Card B- - Date Card B-1 -1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 N J=OK �- O=NotOK 4' = Not Applicable 'RESIDENTIAL (Single & Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except # s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection __18. D.W.V.; Test -Fittings & Anc-ior-Nail Protection ------------------ ------------------- 19. Shower Pan; Test. First Floor -Tub Access ----------- - --------------------------- 20. Test Tub & Shower, Second Floor -Tub Access --------------------------------- 21. Gas Pipe: Size & Anchors ---------- ------------------------------------------------------ - Date- - Card B_1 --- Date - - Card B_1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------ - ------- --------- - - ----- - ------------ - ----- -------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ---------- - ------------------------------------------- 24. Size Boxes & No. of Conductors------------------------tapled ----------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------- ---------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- ------- --------------- --- ------- --- ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------=-------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- - --------------------------------- ---- -- 30. Service -Riser Conductors & Ground -Main Disconnect ------------ - --------------------------------------- ---------- -- 31. Equip Clearances anels-Motors-Mech. - Equip. - -P--------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------- -------------------------------------------------- ----- ---- - -- -- 33. Smoke Detector -------------------------------------------------------------------------------- Dale Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. -A. -C. -Ducts Insulation & Support ----------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------- --- --- -- - `---------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------------------------- 37. Furnance-Vent: Access -Comp. Air -Return Air Vent -115 outlet ---- - ----- ------------------------------------------------------------------- 38. Attic -Access-&. Platform if Furnance in Attic ------------------------------------- --- ------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ------- ---------------- -------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- ---------- 41. Bearing Walls over Girders & Floor Nailing --------------- -- ------------------------------------------------------------ -- 42. -----------------------------•----- -------------------------42. Draft Stop in Walls (rat proof) ------------ --------------------------------------------- ---------------------- 43. Fire Stops: Furred Ceilings -S -.airs -Chases -Tub ------------------------------------------------------------------------------ 44, Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50._ Garage Fire Protection Framing 51. Property Line Firewall & Openings ____________ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer -------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ---------------------- -- 60. Infiltration -Walls -Windows - -------------- - --- - - - ---- Date ------------------------Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except n's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------- ------------------- 64. Bedroom Exiting ----------------- -------- 65. G.F.I. & Bath Fixtures -& Tub Access -Spa ------------------------------- - 66. Elec. Trim -& Subpanel: Breaker Sizes & Labels 67. Stairs & R_ails 68. Fireplace or Stove:_ Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit Fixt_ -----------& Appliance; Grnd=Air Gap -Cooking Clearance 71.--Elec. - Outlets & Receptacles at Kit. Counter -------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer ------------ --------------- 73. A.C. Duct in Garage -Damper ---------------------------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ------------- ------------- ----------------- 75. Plb__Elec & Mech. Equip. Listed -- for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish - - --------------------------- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - - - ------------------------ -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ----------------------------- ---------- ------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. ------------------------ - - 87. Glass Protection - - - --- ---------------------------------------- -------- 88. Corrections from Previous Inspections -- ------ ------- -------------------------------------- 89. - Gas - Test -Meters- -Tagged; Gas -Electric -------------------- -------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------------- ----- ---- Date Card B-1 Date Card B-1 ------------------------------------------ -- ----- Date Card B-1 Date Card B-1 ---- ----- -- ---- ------------------------------ Date Card B-1 Date Card B-1 Comments at Final: COUNTY. OF BUTTE - DEPARTMENT,OF VYVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75419 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 25-31-18 ZONING U BUILDING PERMIT OWNER NORMAN HORNSBY TELEPHONE 533-9413 SQ, FT, OCC. 13UILDIN V UATION OWNER'S MAILING ADDRESS 5946 POWERHOUSE HILL RD 95965 816 M 0 CONTRACTOR'S NAME FRED NN PEPPER LANE SHG. TELEPHONE CONTRACTOR'S MAILING ADDRESS SPRGS 95682 Fireplace CONSTRUCTION LENDER UNKNOWN - Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 1 2.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105. 30 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5946 POWER HOUSE HILL RD PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. I SUBDIVISION'S NAMEp E Ap .2 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DET- GARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK Newyd Addition ❑ Remodel 1:1Utilities O Installation ❑ Other 1:1PERMIT Describe Work: GARAGE W/STORAGE FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OCCUP. OR ADDNS.T ( D &EALINCCGOLDS. ) 3.5C so 28.55 NEW CONST. MULTI -OUTLET 'NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do �o44 the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) IDI am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR p• ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. J( I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 48.55 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou y in consequence of the gr ting of this permit. X _ Date �� ' %�� qeF Signature of Applicant ❑Owner ❑ ractor ❑Agent ` An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ coy YPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF —_ PARCEL PD `— I E This permit is hereby issued under the applicable of the Butte C unty Code and/or Resolutions indicated ab for which fees have be 69 '—z 4 BY // PERMIT EXPIRES ON �`� (Date) provisions to do work n paid. 1 ate G ' f —04 Receipt No. 156161 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION- DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE (,-( 6 & /1, s (, OWNER L%-&�' PERMIT N A nmfine bmpection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work inconplieted_ Byou have any questions pertaining to this matter, or need additional explanation, Date C> C Inspector , REN lam 'R :�'�4-.~Lf-+"rrY t�..•.li :t1L•-._�.,,j•-ti�-..nv�n -r•1 `�'fyY."""'S^v`,�l�tif�"�7.., {�/�%�yY_%j�� �q�'Y�`���t,vti•Jw:,�,�,;,,..:-.,�..�•��r*-�yQ.:-,1,,,,. 'c. t',.iy�;' �%i.--i"; "Y:✓�"�.,�., y,•�`I� POUNTYOF BUTTE - DEPARTMENTgF.,D EL®PMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIIIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use �; Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1., All items have been submitted . .................................... . . 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......... .............................. . 11. Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. .. ..... . CAD Flood elevation letter (100 year flood) b California Engineer ................ . 4. Sanitation and plot plan approval by Health Department. ........... V_ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection forP'a'"s Omsrl reyu required. .. to B�;;ding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... _ 23. Owner -Builder Verification (Given to owner , Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. f ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance.,, `......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31 Existing violations/expired permits . ...................................... e'32 Ian check list . ............................................. .... . .34. When you issue the permit, pr cess as follows: Mail to owner. Mail to contractor. Telephone 5 33 pnd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicanf Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: nce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou �r Jy _ Date Plans checked by ��� Date Z-2 dans approvedby !lam Date6. _1*3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Dupartillorit FROM: t livi roil 111011tal Hoalth SUBJECT: Sanitation Clo-araficu f—I I I I I Pi �J I'lot Him Alwolied Vluor Phiii Alilidwil Som 14) 11.1): Owner Location AP# D7 flan Approved for: Sowioe DN)osal \\later Supply: Public PrivateWell i-- Other Hold final for: I'Mal clearance O.K. for: A i A A , NOTE: 1\1 o EnvironniAtal (Vealth Specialist 8/92 nate FLOOD PLAIN DECLARATION I declare the actual value of the proposed constructi n work under build- ing permit- application 91�-df&5 at A. P. # 1011/for Q /'Q Q— does not equal or exceed the definition of "Substantial Improvement."# I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNE ADDRESS ,��9 eeys a=% -Ire L l PHONE NO. 5.33 ^ >3 DATE ' 31—!Y 'Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement'of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. M Lowest Floor Declaration I declare that the proposed construction of 'thej �lJ G�4yaG,L under Building Permit Application at 5gZ1 - ,FowF,7a J- o()—S d/Li. 01D,. A. P. # will be used as indicated so it will not be considered a buildings "lowest floor." I am aware that the floor level is below the 100 year flood elevation and will advise prospective buyers of this condit Property Owner Address Phone No. 3 w,3 Date 1 *"Lowest Floor" means the lowest floor of the lowest enclosed area (includ- ing basement). An unfinished or flood resistant enclosure, usable soley for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor; provided that such enclosure is not built so as to render the structure in violation of the applicable non -elevation design requirements. FE`IA FLOOD PROGRAM Residential Garages, Residential Storage Buildings, Agricultural Buildings and Residential Crawlspaces Buildings located in designated flood areas generally must have the lowest floor elevated at or above the 100 year flood elevation. "Lowest Floor" means the lowest floor of the lowest enclosed area (including basement). An unfinished or flood resistant enclosure, usable solely for - parking of vehicles, building access or storage in an area other than a base- ment area is not considered a buildings lowest floor; provided that such enclo- sure is not built so as to render the structure in violation of the applicable _ non -elevation design requirements. If the floor is not elevated and the structure is exempt from the "lowest floor requirement," (see above), then the following must be done: (a) building designed and anchored to prevent floatation, collapse or lateral movement. (b) building is constructed with materials resistant to flood damage. (c) building constructed by methods and practices that minimize flood damage. (d) electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumul- ating with the components during conditions of flooding. Note: We will normally accept the following as compliance with the above conditions: 1) Building is anchored to concrete stemwall system with conventional anchor bolts. 2) Building plate on top of stemwall to be at or above the 100 year flood elevation. (Plate height less than 24" above grade or engi- neered design required.) 3) Electrical, heating, ventilation, plumbing and AC equipment and facil- ities located above the plate, (100 year flood elevation). 4) At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 sq. inch for every sq. ft. of enclosed area. 5) The bottom of the openings shall be no higher than 1 foot above grade. 6) The openings may be screened or covered with other devices that will permit automatic entry and exit of flood water. 7) Lowest Floor Declaration form signed by property owner. On residential buildings where the "lowest floor" is elevated at or above the 100 year flood elevation, the crawlspace must comply with items 3, 4, 5 and 6 above. J: F. Glander October 13, 1989 Chief Building Inspector Butte Countv Department of Public Works ; Mti UT IL " RMIT N0._ 2915-75 P,E ��~PE- .f P •i E - • T f M MH UTIL. rPERMIT NO. PERMIT EXPIRES -�® 76 OWNER A.W. Shively { owner tCONTR. 1 25-23-52 JLOCATION (A.P. ) :1 w/s Powerhouse Hill Road approx. 1/2 mi. =y( r So. of Palermo Rd., Oroville I Temp. Power Pole Called PG&E Temp. Elec. Serv. /Ga (Date) (Signature)2� " Slab COUNTY OF� BUTTE — DEPARTMEATOF PUBLIC WORKS BUILDING INSPECTION RECORD Patio FIREPLACE BUILDING BUILDING (Cont'd) Footing PLUMBING Setback Firewall Soil Piping Bond Beam Forms Parapets 1st Floor Stucco Main Bldg. Restroom Finish 2nd Floor Scratch Footings Windows 3rd Floor Finish Stemwall Siding To out Door Closer Slab Roof Sheathing Water Pi in j l Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS Sanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault Pr( Service Temp. Pole Undergrouni Permanent Final ELECTRICA \r� - !, 4"i �` V •• yw ,''1 -U!/L'.,L.i7.. "�s '"Y T..Y' CY, COUNTY OF BUTTE DEPARRINENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE / OROVILLE, CALIF. - 534-4541 r CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Ad inistrative Code, Title 25, Chapter 5, under permit number .1 2671-7 L� for the following location: Wl-� . ' Owner'_ A - Ml Owner's Address Mobilehome Mfg. J�•/�.��"�� Model �o� Year ��' Insignia No. 2 31-5 37 1 Serial No. 4'6111 G 61=i` /F It is hereby certified for occupancy at the above described location and may be occupied. Director ofJ, Public Works���-c-�� Date ��J-~� O/j'�'� By/ — -• THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W'R7J Telephone: 7 County Center Drive Orovil�7 , California 95965 // • Telephone: 534-_4541 APPLIGAT104 AND PERMIT 1. icy... voa VI t1IV I,vUIIIy vl oullc lv CIIICI ulJUII 1110 above-mentioned property for inspection purposes. X Ar Date Signature of Permitee gent Receipt No. -, __e? 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 PUBLIC WORKS By Date .� 43ei•Idirrg permit expires Date BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mailing Address l Telephone o. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty 1 Telephone No. Permit Fee Building Address S, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _?, O" O // �.-( G !,!/ fd 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. a a �—� j /-� Z- oni " Gas piping system 1 - 5 outlets 1.50 p, Each additional outlet .30 F s[ruta i Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking r Parcel Plans Declaration Parcel Ma 60' R/W Im rove ents P Lawn sprinkler system 2.00 PI 6s Ren Parcel pproval Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIESa OTHER ❑ ELECTRICAL lNo. @ FEE PERMIT FILING FEE $3.00 0",0 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures25-- bal61 Receps., switches & fix outlets 2u (al 2b 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: t Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Waterum P P Z462 7, --d Mobil Home Faci I i es 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring \/ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ o2oZ $o'l 6 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 ermit ,is issued I shall not employ p y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEEPERMIT 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 TOTAL PERMIT FEE 1. icy... voa VI t1IV I,vUIIIy vl oullc lv CIIICI ulJUII 1110 above-mentioned property for inspection purposes. X Ar Date Signature of Permitee gent Receipt No. -, __e? 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 PUBLIC WORKS By Date .� 43ei•Idirrg permit expires Date BUTTE COUNTY DEPARMTNT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: kle- 2. Installer's name: 3. Is the site currently under permit? Yes (i / No (If yes, furnish permit number ) OR 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 (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? ------------------- __ 7. What is the mobilehome site circuit_ breaker. rating? ----------- ( -- 8. Is there any other electric load to be served by the mobilebome 0 O N Amps !' 4 Amps Amps site service?--------------------'-----------•--------------------- es / / No / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from metier or tank to the mbhilehome? _ (ft.) 12 What is the mobilehome gas demand.? --------------------------------- (BTU) (Thisjnformation not required if pipe length less than 6 ft. on natural gas or less -than 60 1ft. on L11G.) l r a- MOBILEHOME SUPPORT DATA Mobilehome Mfr. �� ,�t�� Setup Model No. `z' Year Width a4v L (ft.) Length (ft.) - Expando Size• ft.x ft. (Draw 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) . S.in le —ts Footings--(check.one; / / 1. Wood :either pressure treated or Center Center Support A Sup ort Loc tions Footing Sizes (in.) � x� in. in. in. l_._ x�Q (f77� *If center piers are other than drawn above, draw in locations, spacing, and dimensior:s. fdn.`grade.:' 2.:Concrete pad. Other,'specify Supports (check one; 1. Concrete block 2. Concrete piers 3. Steel piers .. .. . 4. Other, specify Typical Support r)—XX-3-61 Footing Size in.(in. ) Max. Pier. 16 Spacing .in. d. Max. Overhang in. i BUTTE COUNTY BUILDING DEPARTMENT APPROVED .;� 'mss -,,z•3': s -z. ,�. fN s�/et/�1 - l Lhis set of plans eud-�Peeificv"OM MUST be ept_o _the_job_a#-_aI!-#i ss-and-it-is-tmlawrul to make any changes or alterations on same without ( • wrNten permisson from the Dehartmen. Works, County. of $into YSetback shall be b ti. �t#�.e�a de–poptl i nem r��—SA f Tu the centerline of the road, pe-rmithn(,' a maximum o eave. overhFm , - Septic systemsand-IaEatien-ef _ to be as per B u�te—Com "/nty—f�e�Ith—Dem . e - qui rements. Ali util:iv conn;��ior�5---s;'�aI-1—b �—located _ within 4 ft. outside the rear th i rdsection_ef--�h on the left (road) side fothe mobile O = �—hoMe. o X, bq • ,� •.,ter"" ' •---�-... AM A vermif will be required for the I _ installation of the mobilehonui. I t3UTTE,C-OUi�-�Y BUIDfNG DEPARTMENT !41 .;� 'mss -,,z•3': s -z. ,�. fN s�/et/�1 - • - 1 7 r MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No— oAre Ar e footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is the mobilehome•level? (Sec.. 5088) Yes No� .5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is. flexible 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 of California approved, does station have backflow device and pressure -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 No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of .California 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves.* 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 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 minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ No. 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 mobileiiome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water iite),-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 conduc-tors. 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 Width Vehicle Serial No. State identification No. Additional.Informati_on or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 0rov1Z He, California 95965 Telephone,: 53$--4541 APPLICATION' AND PERMIT v !r X Date "' �� Signature of Permitee rAgentt Receipt No. ,A ;L7 e�? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date I+ag permit expires Date f /S/ice BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor lw 1q, / Total Valuation Mailing Address ® 1 Permit Fee Plan Checking Fee &/or Penalty 9 (/lf/Pi XIQ. Telephone No ` 15 3 Permit Fee $ Building Address r. PLUMING No.1 @ FEE PERMIT FILING FEE J$3.00 r Q ' Each Trap 1 1.50 Repair drainage or vent piping 1.50 P k!22 tZ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.y _ _ o� J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. . Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p i 60' R. W ImprovementsF=:� Lawn sprinkler system 2.00 Bldg. Plans Rc'd Parcel proval Plan pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /— Z44 CMain service 6011 OR LESS 100 AMP OR LESS 5.00 444— Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 10 0EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLING OCCUP. & OR AODNS. ACC. BLDGS. ) 2C sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW^ONSTR. POWER APPARATUS & NON .RESID. (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: � / � /� Ex. Occup(OUTLETS OR FIXTURES) BA@ EX. Occup. (OUTLETS PRESID )RE A) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 �2t p License No.�J0 3 2 Classification 13 Misc. Wiring 6.25 ❑ 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. j I have placed on file with the County of Butte a certificate of J� 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.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the aboveD information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize entatives of the County of Butte repre to enter upon the above-menti.dnefl property fnr incnontinn nu mnono Q - TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of X Date "' �� Signature of Permitee rAgentt Receipt No. ,A ;L7 e�? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date I+ag permit expires Date f /S/ice . . . Complainc-Dace ,& Dcher 'Dace �f / • BLTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner-: 4 ori' 0, A.P. Address: 9yt�'a` !^- Date of Inspection 44- Tenant: Tenant: Inspector A4_4 Building Location: Type of Inspection requested: 1. Housing �" 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / / Other (specify) Present use of building: -�. �� ,,�+-`'%>i• �. Ca�Ti'i�►aa> Q+•� A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: - 7. Natural light and ventilation: 8. Room aad.space requirements: 9. Bedroom,window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to.'sewage disposal: 12. Connection -to water supply: 13:" Rubbish'and arbage facilities: 14. Stairs ise' Run Headroom, 1HR, Tolerance Handrai\ s)-- 15. Commenc5: tiw-e. B. C. Structural �'-_�� 1. Piers and footings: 2. Floor construction: it 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: .ern A 6. Comments: Electrical 1. Service and -gr 2. Receptacles I. Fusing.: .' 4. Comments::'; �- D. Plumbing 1. Fixtures connected and vented:.. 2. Gas water heater: ---------- 3. Gas heating vents:—�-- 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: ^ 4. Weather protection: IJ a 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits- 6. xits:6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. T% C. Write letter. D. Other: ALU -110 01 - 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 rTelephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner Z OrmQn l rOrnS Address ' 91/6 O Doer ho U Sc A. P. No. Telephone No. S 31 ^ V r Q S Applicant �-� Telephone No " Mailing Address Building 'Location• '� 0 Vie r / V D u S e Oro V i, / e— I hereby request a special inspection of the following building: Dwelling (if only a portion, specify) Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupangy) 4. Other ( specify) co V C-. r (I C1 Y' F I am requesting a special inspection for the purpose of: 0 3. 4. Moving the building. Financing (specify agency) Change of occupancy to Other (specify) 6 U ', l f Case No. Gv P r "I t. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. 61004Z�� �r Date Signature of of Owner V Fee Paid $ ! �o Receipt No. 1st-DPW/2nd-Inspector/3rd-Applicant Eutio ount WIMW BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 538-2140 April 20; 1994 RE: Special Inspection 94-06 A.P. #025-310-018 Norman Hornsby 5946 Powerhouse Hill Road Oroville, CA 95965 Dear Mr. Hornsby, With reference to the above subject and your request for inspection of the mobile home cabana, front deck, awning, and rear carport at 5946 Powerhouse Hill Road, Oroville, the inspection was made on April 18, 1994. The cabana, deck, awning, and carport were constructed without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the cabana, deck, awning, and carport appear to conform to the intent of code requirements, except for the following which must be done or resolved: 1) Obtain Environmental Health Department approval 2) Provide conforming stairs, landings, and handrails at deck and cabana entry. 3) Verify structural system of cabana is adequate, including piers and footings, floor, walls, ceiling and roof. 4) The carport is poorly constructed, with overspanned 2 x 4 rafters bearing on the mobile home, inadequate footings, posts, beams, and roofing. The roof awning at the front of the mobile home is also supported by the mobile home itself. Remove all load bearing members from the mobile home and verify the structural system of the carport, awning, and deck are adequate, including piers and footings, girders, and roof systems. 5) Verify electrical in cabana is properly installed including grounding, adequate lights and receptacles, and circuit protection. Inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said cabana, deck, awning, and carport. It is now in order for you to submit complete plans in triplicate to this office including plot plans, floor plans and structural details,.apply for the required permits, and pay the appropriate fees.. The permits must be obtained and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Scott Rutherford of this office at the address or phone number listed above. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection � ti Of to , Fla, � ti Cz Of Cz o�tjs3,� J , ,7 --Go ML-ev, L15-" erI rromrP��E� 4&0 F"C)b s, '� �FORM�✓E �we�.� I If FA 1 I � ' 1 I If FA n � s PT T02 12:46 AM ----------------------------- y---i—:e---------------------------- - Rey 9 30-93 �', Point footing 12/24/93 ---------------------- ---------- ------------- ---- De ription >>F-3 .» -------- ----Load data -------------;--------------Soil data------------- - > 3 210 k' 'S 41 b 't > 1 500 k f ips , of rg capaci y s Uniform 1 d > .000 kips/ft Live load > 80.000 ----------- --Concrete-------------;----------Reinforcing steel--------- F'c > 2.500 ksi ;Fy > 40.000 ksi m > 18.824 0 > .900 -------------- --------------Footing data ------------------------------ Footing size > 1.750 feet Footing thicknes (t) > 12.000 inches <ok> Distance to reinf. (d) > 8.000 inches Footing weight > .459 kips Total P axial > 3.669 kips Total bearing pressur > 1.198 ksf <ok> Net bearing pressure > 1.048 ksf Factored bearing pressus > 1.719 ksf (1.7*LL+1.4*DL) ----------------- -------- -Footing stresses---------------------------- Diagonal tension -factor_ loads - one way action <ok> Vu=(P net)*(effective area)\Ioads- .629 kips Vn=Vc=2(F'c)".5*bw*d6.800 kips 0 Vn 5.120 kips Diagonal tension - factored way action <ok> Vu=(P net)*(effective area)..500 kips Vn=Vc=4(F'c)".5*bo*d1.200 kips 4 Vn 6.080 kips -------------------------Footing reinforlement -------------------------- Mu=(P net)*bl"2/2 > 6 ft-kips/ft Required Rn=(Mu/0)bd"2 > 11.4 Required p (bending moment) > 0003 Required As (bending moment) > .027.048 in"2 Min. required p UBC 2610(f) > .0004 applied Min. required As UBC 2610(f) > .037.064 \33increase in"2 Minimum reinforcement as governed by: ---Minimum reinforcement -- 1 No. 4 bars e.w. 1 No. 5 bars e.w. 1 No. 6 bars e.w. 1 No. 7 bars e.w. 3D c VnLT; State of California DEPARTMENT USE ONLY Department of Housing and Community Development DECAL NO. ,)DE Division of Codes -nd Standards sorw Manufactured, Housing Section ,0 "$.4 ILT STICKER N0. m DEALER REPORT OF SALE sITUs COUNTY CODE EXP. DATE TAX TYPE (CIRCLE ONE) USED MOBILEHOME OR COMMERCIAL COACH ILT LPT EXT CALIF.. DEALER LICENSE NO. �� ,c• USE CODE SFO MFD ❑ GROUP ORIGINAL SALE PRICE ILT EXEMPTION ORIG. COST CODE RATING YR. ..., ;OCC CUR 7T„S�L PRISE CURRENT SALE DATE , NAME OF MANUFACTURER MANUFACTURER LICENSE NO. MANUFAA/C/TUR/EE TRADE NAME MFG. MODEL OR NUMBEMDATE OF MANUF CTURE FOUNDATION TYPE ICHECX ONE) DATEFIR SOLD IEW /©Q iNAAMGE 1855 E] tas�3 MER) UNIT (1-4) OLD DECAL NO(S). MANUFACTURER SERIAL NUMBERS) HUD LABEL OR HCD INSIGNIA NUMBER(S) LENGTH (INCHES) WIDTH (INCHES) WEIGHT (POUNDS) AAO 6K;? ADDITIONAL UNITS U ' I Kr_k- PT NUMBER . REGISTERED OWNER(S) (PRINT TRUE NAMES): LAST NAME FIRST NAME ' C7 1 (3 IF APPLICABLE, CHECK ONE OF THE FOLLOWING: ❑ TENCOM OR (� JTRS 1 CURRENT MAILING ADDRESS:. FUTURE MAILING ADDRESS: -- 2z LOCATION ADDRESS 1\ OF UNIT: STREET t CI Tl LEGAL OWNER: (4) (5) IF APPLICABLE, CHECK ONE OF THE FOLLOWING: To TENGOM OR ❑ JTRS MAILING ADDRESS: STREET CITY FIRST JUNIOR LIENNOLDER: - (s) F'*`. X'\. p a IF APPLICABLE, CHECK ONE OF THE FOLLOWING: ❑ TENCOM OR ❑ JTRS MAILING ADDRESS: RECEIPT DATE I CLERK PPF MIDDLE NAME OR INITIAL RF 1: ILT MRF �J PEN 1 ❑ TENCOM AND ❑ COMPRO PEN 2 ❑ TENCOM AND ❑ COMPRO STATE Zip ❑ TENCOM AND ❑ COMPRO REPO UTP ASF STREET CITY STATE ZIP TOTAL ADD JL ElCERTIFICATION DATE STAMP AREA The applicant and dealer signing below state to the best of their knowledge and belief that all' statements made in this application are true and correct. The dealer further certifies that the described unit is in compliance with all provisions of the Health and Safety Code and the department regulations adopted pursuant to the Health and Safety Code. SIGNATURES) OF NEW REGISTERED OWNER(SZ--LINES A -C: (A)7. 1 (D) DEALER NAME:f j3(" - r,^24 By SIGNATURE OF AOTHORIZED AGENT (E) DEALER_ ADDRESS: /2 j <�r_/ COPY t-0EPARTMENT COPY COPY 3 -ASSESSOR COPY COPY 2 -CUSTOMER COPY COPY 4 -BOOK COPY NO.: No. U205001 v.I i /~\ r r r Fidelity National Title Company on OF CALIFORNIA 535 Wall Street - Chico, CA 95928 PRELIMINARY REPORT ESCROW OFFICER Geri Beaton ORDER NO.: 405366 TITLE OFFICER: Sandra Linville T0: Fidelity National Title Company -Sub Escrow LOAN NO.: 0039478482 8801 Folsom Blvd., Suite 210 Sacramento, CA 95826 ATTN:'Geri Beaton (9 16) 386-4000 YOUR REFERENCE.: 00207702 SHORT TERM RATE: No PROPERTY ADDRESS: 5946 Power House Hill Road, Oroville, California EFFECTIVE DATE: October 2. 2002, 07:30 A.M. The form of Policy or Policies of title insurance contemplated by this report is: American Land Title Association Loan Policy (10-17-92) with A.L.T.A. Form 1 Coverage 1. THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS: A FEE as to Parcel(s) A EASEMENT(S) more fully described below as to Parcel(s) B, C & D 2. TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: Norman W. Hornsby and H. Peggy Hornsby, husband and wife as joint tenants 3. THE LAND REFERRED TO IN THIS REPORT IS SITUATED UNINCORPORATED AREA, IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF BH\bh 10/03/2002 201-1 E00800A 00-1 STATE OF BUSINESS, TRANSPOR ATIONIAND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM LIEN 4aT1C1:IFn `y1 This unit is a (check one): 0 Manufactured Home/Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper The Decal (License) No.(s) of the unit is: LAV6284 The Trade Name of the unit is: The Serial No.(s) of the unit is: SECTION II. 11CQTnni�___ Name of Debtor(s): SECTION III. DEBTORS NAME(S) This is to certify that our/my lien in the name of the debtor shown above against the described unit has been fully, satisfied and has not been assigned to any other party. Print or Type Name of Legal Owner or Jr. Lienholder (Lender): ress street HCO 475.3 (7197) , Jr. Lienholder (Lender) or their Authorized Agent: .,,�r Frere Zip Code 1 Z:i �o 2 o HCD4753 STATE OF CALIFORNIA f ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY tMENTOF DEPARTMENT OF HOUSING AND CO �' hBvIUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM S'T'ATEMENT OF FACTS This unit is a: ❑ Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) �G 20F �/ I/We, the undersigned, hereby state: DISPOSITION OF THE DECAL(S) OR LICENSE PLATES(S): z/ DESTROYED / LOST ATTACHED I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perlury that the foreanino ic rn,P n,,,4 ,.,.._e,.. q''"% HCD 476.6 (REV 9/91) ���✓ N ���1589 DIDWELL TITLE OROVILLE j v�4 T VVG - — NU. 4 00i -eat �RiFdw No.�s►1NM's #A"WEsamw #b. Low Ab. 13aWFAJA4 "IN RECOiWW 6WL ?a NORKAN 94-`pO01 l i W. molMay K PF.Qpy MORNMY ,on R.. R 1 bha 9.00 SE 1!U ppb Of u �oorddd 1 Ch�nlr 49.30 at 9county,44 nvoords 1 58. 30 01 r t Cond•GO J. Orubb>. 1 �ott'd�r l Tq�( STATpy .� ArODda r 3-JAn-94 1 We vg 2 SOME AB ABoW APAML: gm-afY"*.m GRAMDEEP POA A vAL~ f:LF1WOR L °O"61 �10�� r+o•mia+Malr t,..a.�,�.a 01WEU►, an ung wee Hme4r GPAWtst b N04"N W. lQmnnv Lid K y ifOl1 N9By. f1Nd end wth► a Joint Tilitlrits w. No Orgperpr cm go C" a � PORATb ASCA . •.r••.• 0.0. Oka arcw&yh game"'81@19 ATTACMRO LEGAL O ESC RIPTf OIP•••s.....••.s...• dated stt�aratu�on�rn oamnr aQ � � w Nil win ft one b AM M pk pw" M AN •� b mb%Wtiwi 0rn.er� ��� � �p a alld�� tlr tg>gg�t� 1�OI1 AIM/ d Et SANDi1A k. MOft$ . NEk A1'NpkNEY IN rAC= 1 B PROPERTY INFORMATION/ 2) Property: 5946 POWER HOUSE HILL RD, OROVILLE CA 95965-9029 R002 Pend: APN: 025-310-018-000 Card#: Use: MOBILE HOME LOT County: BUTTE, CA Prop Tax: $475.62 Total Value: $54,063 MapPg/Grid: Old Map: Tax Year: 2001 Delinq: Land Value: $39,015 Census: 33.00 Tract #: Tax Area: 092000 Impry Value: $15,048 High School: OROVILLE UN Elem School: Taxable Val: $47,063 Comm Coll: Exemptions: HOMEOWNER Assd Year: .2001 Water Type: Subdivision: Park Type: % Improved: 28% Owner: HORNSBY NORMAN W & H PEGGY Phone: 530/533-9413 Legal Blk/Bldg: Site Influence: Owner Vest: HW / EU / Mail: 5946 POWER HOUSE HILL RD; OROVILLE CA 95965-9029 R002 Owner Transfer = Rec Dt: Price: Doc#: Sale Dt: SALE & FINANCE INFORMATION LAST SALE PRIOR SALE Recording/Sale Date: 01/03/1994 • 00/1974 Sale Price/Type: $45,000 FULL Document #: 261 1941053 Deed Type: GRANT DEED 1st Mtg Amt/Type: $17,500 1 st Mtg Rt/Type/Trm: 1 st Mtg Lender: 2nd Mtg Amt/Type: 2nd Mtg Rt/Type/Trm: Title Company: Seller: New Construction: Other Last Sale Info = MID -VALLEY TITLE & ESCROW SHIVELY ELEANOR L # Parcels: Type 2: Pend: SITE INFORMATION # Res. Units: County Use: RN Acres: 2.78 # Comm Units: Zoning: U Lot Area: 121,097 # Buildings: Flood Panel: Lot Width: Bldg Class: Panel Date: Lot Depth: Parking Sqft: Flood Zone: Usable Lot: Park Spaces: Sewer Type: Garage Cap#: Water Type: Park Type: Other Impvs: Legal Blk/Bldg: Site Influence: Legal Lot/Unit: Amenities: Legal: 5946 POWER HOUSE HILL ROAD Win2Data® Type: IMPROVEMENTS Bldg/Liv Area: Gross Area: Ground Flr: Bsmnt Area: $/SgFt: Yrblt/Eff. # Stories: Rooms: Bedrooms: Full/Half Bath: Ttl Baths/Fixt: Fireplace: Pool: Porch Type: Patio Type: Construct: Foundation: Ext Wall: Roof Shape: Roof Type: Roof Matl: Floor Type: Floor Cover: Heat Type: Heat Fuel: Air Cond: Quality: Condition: Style: Equipment: Other Rms: _Page: 1 of 1 330, y8 ' 721W set OYTdaw smd;9pwifications MONT be ] t = the job at all tion and it is 1- lawful to male any.gbangts or a1twations on game without *rAten permission Vom taO Department of Public ort& County of Butte. l ALL SiFiMtES AED FCU1P ENT INC_ UDINO OF ALL €'ASE4 I IEWg1S. 0" THE aaEE SHALL 13E. CLEA E ss=T f%j F`.ir:>::' -ii 3 ��?13�'tEidT EY�CEt�T (i Cl i X 3Lj- FOR Ai'.1::1 m ? NOTE: All ! ��__ l _��...� �J.:_! C�1„� IZ, ` L� Materials & Yrorkmanship Sball , s Accordance with Recd "S RM c aOtj(*8 and Of a Quel1V Prescribed f the Sp if ed use 121 the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. POWER,�-i9t�sE N�Ct fiaFi� NoT To 1_u_Y.,Se.At 4 P. BU TE.C.OUNTY BUILDING DEPARTMEF: APPPOVPr SCALE: APPROVED B WZ DRAVJNI Y• eA,roa.,j v ATE: REVISED i4VSY, � IJR/ � Rd DRAVANG NUMBER • ( ` IV4 c 6� Iall) S BU TE.C.OUNTY BUILDING DEPARTMEF: APPPOVPr SCALE: APPROVED B WZ DRAVJNI Y• eA,roa.,j v ATE: REVISED i4VSY, � IJR/ � Rd DRAVANG NUMBER • ( ` a 2�/ Y .■ �=- C M. 7 +C: �j FM .■ I i -,v-O X I i �4 � ptscv �c�E Rc�o!F cove�z�F+ S v Zx4wm.. - I55T 4S"O,C- , Pea CH,.sZ U,g.C.. K © w h• � � { T .� .i' err �: , �.W.M.+.M._ar.w_w. ...^.Y �..� . ~.Y.Y��i'�!!M!.A"r'�MN �►w y.��..�_... — — _ ... -- i BUTTE COUNTY WILDING DEPAPTHEW APPROVP,r) Prov- ido i§deduate brdclnq. .0.4 0, p OecAk3a -S BUTT[i COW" allILDING DEPARTM�-M m ri MILDING Dr--PARTMP-NI A P P R, 0 V E D